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MR. KEITH MICHAEL LEDERHAUS CSW
NPI 1639449382
Counselor - Addiction (Substance Use Disorder) in Salt Lake City, UT

Active since January 11, 2012
344 E 100 S, SALT LAKE CITY, UT 84111(801) 322-4257 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith Michael Lederhaus Csw NPPES

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

MR. KEITH MICHAEL LEDERHAUS CSW (NPI 1639449382) is an individual addiction (substance use disorder) provider in Salt Lake City, Utah and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1639449382
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEITH MICHAEL LEDERHAUSCredential: CSW
Location Address344 E 100 SSalt Lake City, UT 84111-1700
Mailing Address474 7th Ave Unit BSalt Lake City, UT 84103-3046
Phone(801) 322-4257
Sole ProprietorNo
Enumeration DateJanuary 11, 2012
✔ NPI 1639449382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
344 E 100 S, Salt Lake City, UT 84111
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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.

JESSE ALRED
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (662) 213-5113
MS. KASSANDRA ROMERO
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
TANNA FAY ESKELSEN
Community Health Worker
344 E 100 S, 301
SLC, UT 84111
Salt Lake County (801) 322-4257
ASHLEY BASSETT
Peer Specialist
344 E 100 S, STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
LAVINIA FONUA
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
BRANDY K KOFFEL
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
CHRISTOPHER SIMMONS
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
JULEE MARES
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222

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 Keith Lederhaus's NPI number?

The NPI number for Keith Lederhaus is 1639449382. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Keith Lederhaus located?

Keith Lederhaus practices at 344 E 100 S, Salt Lake City, UT 84111. The listed phone number is (801) 322-4257.

What is Keith Lederhaus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Lederhaus was last updated on January 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.