Individual provider Active NPI

Kristin Eleanor Kaserman, LMFT

  • Marriage & Family Therapist
  • Harrisville, UT
National Provider Identifier
1730330853
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9330898-3902 Issued in UT
Practice address
811 N Harrisville Rd
Harrisville, UT 84404
Phone
(801) 399-1818
NPI assigned
Oct 7, 2008
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0103331NMMDMarriage & Family Therapist
9330898-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Medical Services, LLC PastSince Jun 14, 2020 Accepting new patients
The Evolution Group Inc. Past Accepting new patients
Aloha Behavioral Consultants, Inc. Marriage & Family Therapist PastSince Jan 26, 2017 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.

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.

Verify at the official NPI Registry.