MR. KYLE PAUL CROSSETT (NPI# 1144723065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144723065 |
| Entity Type | Individual |
| Full Name | MR. KYLE PAUL CROSSETT |
| Credential | ACMHC |
| Practice Address |
1020 S Main St Ste 100 Salt Lake City UT 84101-3194 |
| Mailing Address |
4460 S. Highland Dr. Salt Lake City UT 84124-3503 |
| Practice Telephone | 8889494864 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10683988-6009 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1020 S MAIN ST STE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427038090 | Sarah Oswald Mogzec | Social Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2006-01-19 |
| 1073087722 | Hyrum William Ranson | Community Health Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2019-01-16 |
| 1619449345 | Kristin Marie Kooring | Community Health Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-12-19 |
| 1366913550 | Landon Horton | Community Health Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-12-16 |
| 1427526045 | Allison Egbert | Community Health Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-11-13 |
| 1033685565 | Makayla Kassady King | Community Health Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-10-23 |
| 1295213452 | Melissa Hope Foulger | Social Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-07-31 |
| 1235620600 | Aaron Neil Larsen | Social Worker | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-05-22 |
| 1336645217 | Emily Ann Otterstrom | Case Manager/Care Coordinator | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2018-04-01 |
| 1720457427 | Sanghee Kweon | Registered Nurse | 1020 S Main St Ste 100, Salt Lake City, UT 84101-3194 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on MR. KYLE PAUL CROSSETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.