Individual provider Active NPI

Airyn Reyes

  • Clinical Social Worker
  • Kaysville, UT
National Provider Identifier
1780400994
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13054342-3501 Issued in UT
Practice address
375 N Main St Ste 102
Kaysville, UT 84037-1272
Phone
(801) 989-3488
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 13054342-3501 UT Primary

Addresses

Primary practice location

375 N Main St Ste 102
Kaysville, UT 84037-1272

Mailing address

1111 E Brickyard Rd Apt 215
Salt Lake City, UT 84106-2690
Phone (801) 336-6599

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
I20251015001525 UT Practitioner - Clinical Social Worker 7113414905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 E Brickyard Rd Apt
Suite 215
Salt Lake City, UT 84106-2690

170 S Interstate PLZ
Suite 100
Lehi, UT 84043-8601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carbajal Counseling and Consulting, LLC CurrentSince Dec 8, 2024 Accepting new patients
Arcadia Counseling LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

375 N Main St
Ste 102
Kaysville, UT 84037
Phone (385) 324-6838

170 S Interstate Plz
Ste 100
Lehi, UT 84043
Phone (385) 236-4500

9490 S 300 W
Ste 100
Sandy, UT 84070
Phone (385) 236-4500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1780400994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E BRICKYARD RD APT 215",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062690",
            "telephone_number": "801-336-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 102",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-989-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "AIRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13054342-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.