Active NPI
Kristin Eleanor Kaserman, LMFT
- Marriage & Family Therapist
- Harrisville, UT
National Provider Identifier
1730330853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 9330898-3902
- Practice address
- 811 N Harrisville Rd
Harrisville, UT 84404 - Phone
- (801) 399-1818
- NPI assigned
- Oct 7, 2008
- Last updated
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 9330898-3902 | UT | Primary |
| Marriage & Family Therapist | 106H00000X | 0103331 | NM |
Addresses
Primary practice location
811 N Harrisville Rd
Harrisville, UT 84404
Mailing address
5697 Maplewood Dr
South Ogden, UT 84405-4850
Phone (505) 385-0559
Other practice location 1
218 Broadway SE
Albuquerque, NM 87102-3425
Phone (505) 242-6988 ext. 101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103331 | NM | MD | Marriage & Family Therapist |
| 9330898-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Medical Services, LLC | Past | Accepting new patients | |
| The Evolution Group Inc. | Past | Accepting new patients | |
| Aloha Behavioral Consultants, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Harrisville, UT
- NPI 1952432635
Marriage & Family Therapist
-
- Multi-Specialty Clinic/Center
- Harrisville, UT
- NPI 1255956967
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1285801191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1730330853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5697 MAPLEWOOD DR",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054850",
"telephone_number": "505-385-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N HARRISVILLE RD",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "84404",
"telephone_number": "801-399-1818"
}
],
"practiceLocations": [
{
"address_1": "218 Broadway SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871023425",
"country_code": "US",
"telephone_number": "505-242-6988 x101",
"fax_number": "505-242-6972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASERMAN",
"first_name": "KRISTIN",
"middle_name": "ELEANOR",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "9330898-3902",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0103331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.