Provider Demographics
NPI:1124682018
Name:K2 COUNSELING & CONSULTING
Entity type:Organization
Organization Name:K2 COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KINIKINI
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-628-3092
Mailing Address - Street 1:498 N 900 W STE 200
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4153
Mailing Address - Country:US
Mailing Address - Phone:801-525-4645
Mailing Address - Fax:801-779-7808
Practice Address - Street 1:2363 N HILL FIELD RD STE 5
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-6910
Practice Address - Country:US
Practice Address - Phone:801-525-4645
Practice Address - Fax:801-779-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
12113466OtherCAQH