MR. KRISTOFER LUNDEBERG LCSW
NPI 1194003186
Social Worker - Clinical in Ephraim, UT

Active since July 26, 2011PECOS Enrolled
152 N 400 W, EPHRAIM, UT 84627(435) 283-8400 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kristofer Lundeberg Lcsw NPPES

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

MR. KRISTOFER LUNDEBERG LCSW (NPI 1194003186) is an individual clinical provider in Ephraim, Utah, licensed in Utah (7920999-3501) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194003186
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KRISTOFER LUNDEBERGCredential: LCSW
Location Address152 N 400 WEphraim, UT 84627-5549
Mailing Address152 N 400 WEphraim, UT 84627-5549 · (435) 283-8400 · Fax (435) 283-8401
Sole ProprietorNo
Enumeration DateJuly 26, 2011
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
NPI 1194003186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 7920999-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
152 N 400 W, Ephraim, UT 84627

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kristofer Lundeberg Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84627 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

Counselor (Addiction (Substance Use Disorder))
152 N 400 W
EPHRAIM, UT 84627
Social Worker (Clinical)
152 N 400 W
EPHRAIM, UT 84627
Counselor (Professional)
152 N 400 W
EPHRAIM, UT 84627
Counselor (Mental Health)
152 N 400 W
EPHRAIM, UT 84627
Physician Assistant
152 N 400 W
EPHRAIM, UT 84627
Social Worker (Clinical)
152 N 400 W
EPHRAIM, UT 84627
Counselor (Mental Health)
152 N 400 W
EPHRAIM, UT 84627
Counselor (Professional)
152 N 400 W
EPHRAIM, UT 84627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristofer Lundeberg's NPI number?

The NPI number for Kristofer Lundeberg is 1194003186. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Kristofer Lundeberg located?

Kristofer Lundeberg practices at 152 N 400 W, Ephraim, UT 84627. The listed phone number is (435) 283-8400.

What is Kristofer Lundeberg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristofer Lundeberg enrolled in Medicare?

Yes. Kristofer Lundeberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristofer Lundeberg was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.