Individual provider Active NPI

Kenna Orgill

  • Professional Counselor
  • Eagle Mountain, UT
National Provider Identifier
1962005710
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3726 E Campus Dr Ste H
Eagle Mountain, UT 84005-4514
Phone
(801) 789-7780
Fax
(801) 789-7700
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3726 E Campus Dr Ste H
Eagle Mountain, UT 84005-4514

Mailing address

3726 E Campus Dr Ste H
Eagle Mountain, UT 84005-4514
Phone (801) 789-7780

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

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1962005710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514",
            "telephone_number": "801-789-7780",
            "fax_number": "801-789-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514",
            "telephone_number": "801-789-7780",
            "fax_number": "801-789-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGILL",
        "first_name": "KENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.