Active NPI
Patricia Kuriyama, MAC, LPC, CMHC
- Mental Health Counselor
- Kaysville, UT
National Provider Identifier
1740528405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13295695-6004
- Practice address
- 375 N Main St
Kaysville, UT 84037-1199 - Phone
- (801) 989-3488
- NPI assigned
- Jan 30, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13295695-6004 | UT | Primary |
Addresses
Primary practice location
375 N Main St
Kaysville, UT 84037-1199
Mailing address
3231 S 2410 W
Syracuse, UT 84075-1145
Phone (806) 292-7841
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 |
|---|---|---|---|
| 13295695-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbajal Counseling and Consulting, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Kaysville, UT
- NPI 1053994897
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1740528405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 S 2410 W",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840751145",
"telephone_number": "806-292-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371199",
"telephone_number": "801-989-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIYAMA",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "MAC, LPC, CMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "13295695-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.