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KEVIN THERIOT PH.D.
NPI 1235229741
Social Worker - Clinical in Salt Lake City, UT

Active since October 13, 2006Opted out of Medicare · through Apr 1, 2027
132 S STATE ST, SALT LAKE CITY, UT 84111(801) 240-2429 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Theriot Ph.d. NPPES

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

KEVIN THERIOT PH.D. (NPI 1235229741) is an individual clinical provider in Salt Lake City, Utah, licensed in Arizona (LCSW -0065) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235229741
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN THERIOTCredential: PH.D.
Location Address132 S STATE STSalt Lake City, UT 84111-1506
Mailing Address9433 Sunset Ridge DrSandy, UT 84092-2505 · (801) 432-7049
Phone(801) 240-2429
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 18, 2011
✔ NPI 1235229741 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 AZ · LCSW -0065
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.
132 S STATE ST, Salt Lake City, UT 84111
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Theriot 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 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 84111 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 10

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

MR. SHAWN JAMES EVANS L.C.S.W.
Social Worker (Clinical)
132 S STATE ST, SUITE 200
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-6522
MR. KIM DANIEL ROBERTS MSW, CSW
Social Worker (Clinical)
132 S STATE ST, SUITE 100
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-6500
DR. MICHAEL D GARDNER PH.D.
Marriage & Family Therapist
132 S STATE ST
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-2428
MS. TAMMY LYNN SQUIRES LCSW
Social Worker (Clinical)
132 S STATE ST, SUITE 100
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-6521
CANDACE JESSEE LCSW
Counselor (Professional)
132 S STATE ST
SALT LAKE CITY, UT 84111
Salt Lake County (801) 949-9868
DAVID A. ALBRECHT LCSW
Social Worker (Clinical)
132 S STATE ST, SUITE 100
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-6500
MS. REBECCA MARIE TAYLOR
Counselor (Mental Health)
132 S STATE ST, SUITE 300
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-8611
MS. MARGY ANDERSEN LPC
Counselor (Professional)
132 S STATE ST
SALT LAKE CITY, UT 84111
Salt Lake County (801) 240-6500

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 Kevin Theriot's NPI number?

The NPI number for Kevin Theriot is 1235229741. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Kevin Theriot located?

Kevin Theriot practices at 132 S State St, Salt Lake City, UT 84111. The listed phone number is (801) 240-2429.

What is Kevin Theriot's specialty?

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

Is Kevin Theriot enrolled in Medicare?

No. Kevin Theriot has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Theriot was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.