Evan T Kenison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3099283501 Issued in UT

Practice address

100 S 1000 W
Tooele, UT 84074-4010

Phone

(435) 843-3520

Fax

(435) 843-3555

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Evan T Kenison

  • Community/Behavioral Health Agency
  • Tooele, UT
  • NPI 1639312382
  NPD Authorized official
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912977505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840740751",
            "telephone_number": "435-850-2547",
            "fax_number": "435-843-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 1000 W",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840744010",
            "telephone_number": "435-843-3520",
            "fax_number": "435-843-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENISON",
        "first_name": "EVAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3099283501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "832612",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "942938348",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "942938348EVK",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTRMTN. HEALTH CARE",
            "identifier": "107029553101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lynn Johnson
• Sarah J Johnson, F.N.P.
• Holly Jones, CCM
• Kyle H Jones, CRNA
• K T Reese DDS a Professional Corporation
• Malaz Khamis
• Jason Eugene Kim, D.M.D
• Julee Kimball, APRN, FNP-C
• Michelle Elizabeth Kinder, SSW
• Sierra King

• Clinical Social Worker in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.