Marti Ann Keil, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

141675-3501 Issued in UT

Practice address

1470 N Main St
Suite B
Bountiful, UT 84010-5995

Phone

(801) 298-5008

Fax

(801) 547-0440

NPI assigned

Mar 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Martha a. Keil LCSW PC

  • Counselor
  • Bountiful, UT
  • NPI 1306979802
  Medicare reassignment NPD

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1811167273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N MAIN ST",
            "address_2": "SUITE B",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105995",
            "telephone_number": "801-298-5008",
            "fax_number": "801-547-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N MAIN ST",
            "address_2": "SUITE B",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105995",
            "telephone_number": "801-298-5008",
            "fax_number": "801-547-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "MARTI",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "141675-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Medical Enterprise PLLC
• Ramah James Keddington, DDS
• Hayden Keele
• Trever E Keele, DMD
• Kathleen Joyce Keeler, L.C.S.W.
• Steven Michael Kelly, M.D.
• Daniel Gary Kemp
• Kim Kendall
• Kenneth S Yonemura M D P S
• Karadie Kent

• Mental Health Counselor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.