Active NPI
Eric Klein, ASUDC INTERN
- Addiction (Substance Use Disorder) Counselor
- Tooele, UT
National Provider Identifier
1992516124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14223681-6006
- Practice address
- 60 S Main St Ste 6
Tooele, UT 84074-2136 - Phone
- (435) 255-6150
- Fax
- (435) 938-7151
- NPI assigned
- Jan 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14223681-6006 | UT | Primary |
Addresses
Primary practice location
60 S Main St Ste 6
Tooele, UT 84074-2136
Mailing address
60 S Main St Ste 6
Tooele, UT 84074-2136
Phone (435) 255-6150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14223681-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1992516124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 S MAIN ST STE 6",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742136",
"telephone_number": "435-255-6150",
"fax_number": "435-938-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S MAIN ST STE 6",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742136",
"telephone_number": "435-255-6150",
"fax_number": "435-938-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ERIC",
"credential": "ASUDC INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-16",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "14223681-6006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.