KENNETH LAKE HENNEFER LCSW
NPI 1538207154
Counselor - Mental Health in Midvale, UT

Active since February 03, 2007PECOS Enrolled
7321 S STATE ST, STE A-B, MIDVALE, UT 84047(801) 352-2844(801) 942-1973 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Lake Hennefer Lcsw NPPES

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

KENNETH LAKE HENNEFER LCSW (NPI 1538207154) is an individual mental health provider in Midvale, Utah, licensed in Utah (116860-3501) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538207154
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH LAKE HENNEFERCredential: LCSW
Location Address7321 S STATE ST, STE A-BMidvale, UT 84047-2055
Mailing Address3231 Mcneill CirSandy, UT 84093-2136 · (801) 942-1973 · Fax (801) 942-1973
Fax(801) 942-1973
Sole ProprietorYes
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1538207154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 116860-3501
7321 S STATE ST, Midvale, UT 84047

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Lake Hennefer 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.

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
7321 S STATE ST, STE #C
MIDVALE, UT 84047
Social Worker (Clinical)
7321 S STATE ST, SUITE AB
MIDVALE, UT 84047
Social Worker (Clinical)
7321 S STATE ST, SUITE B
MIDVALE, UT 84047
Social Worker (Clinical)
7321 S STATE ST, #AB
MIDVALE, UT 84047
Social Worker (Clinical)
7321 S STATE ST, SUITE B
MIDVALE, UT 84047
Marriage & Family Therapist
7321 S STATE ST, SUITE A
MIDVALE, UT 84047

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 Kenneth Hennefer's NPI number?

The NPI number for Kenneth Hennefer is 1538207154. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Kenneth Hennefer located?

Kenneth Hennefer practices at 7321 S State St Ste A-B, Midvale, UT 84047. The listed phone number is (801) 352-2844.

What is Kenneth Hennefer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kenneth Hennefer enrolled in Medicare?

Yes. Kenneth Hennefer is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Hennefer accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Utah list Kenneth Hennefer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Hennefer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.