Individual provider Active NPI

Kammy Lea Yorgason, ACMHC

  • Mental Health Counselor
  • SLC, UT
National Provider Identifier
1982183513
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1141 E 3900 S Ste A170
SLC, UT 84124-1250
Phone
(888) 949-4864
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7767893-6009 UT
Mental Health Counselor 101YM0800X UT Primary

Addresses

Primary practice location

1141 E 3900 S Ste A170
SLC, UT 84124-1250

Mailing address

1141 E 3900 S Ste A170
SLC, UT 84124-1250

Other practice location 1

4460 S Highland Dr
Slc, UT 84124-3543
Phone (888) 949-4864

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240605003271 UT Practitioner - Mental Health Counselor 3173065174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7767893-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurorev PLLC CurrentSince May 1, 2024 Accepting new patients
South Davis Psychological Services CurrentSince May 1, 2024 Accepting new patients

Locations

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

1544 Woodland Park Dr
Ste 320
Layton, UT 84041
Phone (801) 556-4751

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1982183513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S STE A170",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S STE A170",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241250",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 S Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841243543",
            "country_code": "US",
            "telephone_number": "888-949-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORGASON",
        "first_name": "KAMMY",
        "middle_name": "LEA",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7767893-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

Verify at the official NPI Registry.