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KALLIE KAY MADSEN
NPI 1649930801
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Ephraim, UT

Active since December 29, 2021

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kallie Kay Madsen NPPES

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

KALLIE KAY MADSEN (NPI 1649930801) is an individual substance abuse treatment, children provider in Ephraim, Utah and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1649930801
Entity TypeIndividualFemale
Primary Taxonomy3245S0500X
Provider Legal NameKALLIE KAY MADSEN
Location Address66 N 180 WEphraim, UT 84627-2130
Mailing Address66 N 180 WEphraim, UT 84627-2130 · (435) 283-0164
Phone(435) 283-0164
Sole ProprietorYes
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1649930801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
66 N 180 W, Ephraim, UT 84627
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Other Providers at the Same Location NPPES 16

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

STACEY LYNN JOHANSON
Residential Treatment Facility, Emotionally Disturbed Children
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
RANAE REYNOLDS NEWLAND
Residential Treatment Facility, Emotionally Disturbed Children
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
MCKAYLIE ANN PETERSON
Counselor
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
CATHERINE ANN LEATHAM BACHELOR OF SCIENCE
Counselor (Mental Health)
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
KIMBERLEY THORNBERRY
Counselor
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
NICOLE ANN MERLETTE
Counselor
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
BENJI FORBES
Counselor
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164
BRENNA SUE LUTHY
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
66 N 180 W
EPHRAIM, UT 84627
Sanpete County (435) 283-0164

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 Kallie Madsen's NPI number?

The NPI number for Kallie Madsen is 1649930801. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Kallie Madsen located?

Kallie Madsen practices at 66 N 180 W, Ephraim, UT 84627. The listed phone number is (435) 283-0164.

What is Kallie Madsen's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Kallie Madsen was last updated on December 29, 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.