Individual provider Active NPI

Kevin Gerald Madsen

  • Clinical Social Worker
  • Taylorsville, UT
National Provider Identifier
1982019162
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9623512-3501 Issued in UT
Practice address
5691 S Redwood Rd Unit 15
Taylorsville, UT 84123-5485
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 9623512-3501 UT Primary

Addresses

Primary practice location

5691 S Redwood Rd Unit 15
Taylorsville, UT 84123-5485

Mailing address

1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251201003380 UT Practitioner - Clinical Social Worker 6406347673 Reassigns benefits to 1 organization
I20260421001016 ID Practitioner - Clinical Social Worker 6406347673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1433 N 1200
Orem, UT 84057-2449

1447 N 1200
Orem, UT 84057-2449

1469 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9623512-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Idaho, LLC Clinical CurrentSince Apr 6, 2026 Accepting new patients
Meadowbrook Counseling of Utah LLC Clinical CurrentSince Sep 18, 2025 Accepting new patients

Locations

3345 E Chasewood Dr
Ammon, ID 83406

661 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 206-1588

12401 S 450 E
Unit B1
Draper, UT 84020

2972 W Maple Loop Dr
Ste 101
Lehi, UT 84048
Phone (385) 286-8812

1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

1431 N 1200 W
Orem, UT 84057
Phone (385) 213-2829

5691 S Redwood Rd
Unit 15
Taylorsville, UT 84123
Phone (801) 281-0060

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1982019162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD UNIT 15",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235485",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KEVIN",
        "middle_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9623512-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.