Individual provider Active NPI

Christy P Kane, PHD, CMHC

  • Mental Health Counselor
  • Highland, UT
National Provider Identifier
1891751616
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5716781-6004 Issued in UT
Practice address
5455 W 11000 N Ste 204
Highland, UT 84003-8802
Phone
(385) 223-0777
NPI assigned
Apr 21, 2006
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5716781-6004 UT Primary

Addresses

Primary practice location

5455 W 11000 N Ste 204
Highland, UT 84003-8802

Mailing address

9722 N 5650 W
Highland, UT 84003-3533
Phone (801) 735-5971

Other practice location 1

1355 N University Ave Ste 200
Provo, UT 84604-2721
Phone (801) 221-0223

Other identifiers 1

IdentifierTypeStateIssuer
1891751616OtherUTNPI NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL drchristykane.com Direct
CONNECT URL DrChristyKane.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 E 1700
BLDG 3
Provo, UT 84606-7379
Phone (385) 223-0777

1250 E 200
Suite 1a
Lehi, UT 84043-1470
Phone (385) 223-0777

33 Willow Glen CT
Stafford, VA 22554-8208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5716781-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Cherries II LLC CurrentSince Mar 28, 2021 Accepting new patients
Dr. Christy Kane CurrentSince Mar 28, 2021 Accepting new patients
Professional Clinical Management Past Accepting new patients

Locations

5455 W 11000 N
Ste 204
Highland, UT 84003
Phone (385) 223-0777

Organizations & group practices 5

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1891751616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 N 5650 W",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033533",
            "telephone_number": "801-735-5971",
            "fax_number": "801-748-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N STE 204",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038802",
            "telephone_number": "385-223-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 N University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846042721",
            "country_code": "US",
            "telephone_number": "801-221-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "CHRISTY",
        "middle_name": "P",
        "credential": "PHD, CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5716781-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1891751616",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drchristykane.com",
            "affiliation": "N",
            "endpointDescription": "Corporate website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5455 W 11000 N",
            "city": "Highland",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840038800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrChristyKane.com",
            "affiliation": "N",
            "endpointDescription": "corporate website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5455 W 11000 N",
            "city": "Highland",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840038800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland, UT

Sources for this page

Verify at the official NPI Registry.