Individual provider Active NPI

Kristi Barbara Western

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1689331597
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
873 W Baxter Dr
South Jordan, UT 84095-8506
Phone
(801) 446-3515
Fax
(801) 601-1578
NPI assigned
Nov 26, 2021
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

873 W Baxter Dr
South Jordan, UT 84095-8506

Mailing address

873 W Baxter Dr
South Jordan, UT 84095-8506
Phone (801) 446-3515

Other names 1

  • Kristi Gowda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110000864 UT Practitioner - Clinical Social Worker 9032609896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wisconsin College of Physicians and Surgeons, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reach Counseling LLCGroup PAC ID 5991225443, 2 clinicians

Practice addresses (Care Compare)

873 W Baxter Dr
South Jordan, UT 84095-8506
Phone (801) 446-3515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Individual, Family, and Marriage Counseling LLC CurrentSince Nov 28, 2021 Accepting new patients
Reach Counseling, LLC Clinical CurrentSince Oct 27, 2025 Accepting new patients

Locations

873 W Baxter Dr
South Jordan, UT 84095
Phone (801) 446-3515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1689331597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-446-3515",
            "fax_number": "801-601-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-446-3515",
            "fax_number": "801-601-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERN",
        "first_name": "KRISTI",
        "middle_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "GOWDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.