JORDAN KUGLER PH.D.
NPI 1013679935
Psychologist - Clinical in Salt Lake City, UT

Q: What is Jordan Kugler's NPI number?

The NPI number for Jordan Kugler is 1013679935. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Jordan Kugler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jordan Kugler enrolled in Medicare?

No. Jordan Kugler has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jordan Kugler was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2021Opted out of Medicare · through Nov 9, 2027

170 S 1000 E STE 201, SALT LAKE CITY, UT 84102(402) 578-7426 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Kugler Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN KUGLER PH.D. (NPI 1013679935) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (12443907-2501) and active in the NPI registry since October 2021. He has opted out of Medicare through November 9, 2027.

NPPES Registry Identity

NPI1013679935

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJORDAN KUGLERCredential: PH.D.

Location Address170 S 1000 E STE 201Salt Lake City, UT 84102-1403

Mailing Address170 S 1000 E Ste 201Salt Lake City, UT 84102-1403 · (402) 578-7426

Phone(402) 578-7426

Sole ProprietorYes

Enumeration DateOctober 7, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1013679935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in UT · 12443907-2501

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

170 S 1000 E STE 201, Salt Lake City, UT 84102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jordan Kugler Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2021 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2021

Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL ARMSTRONG PSYD

Psychologist