JACK KETTERING (MA) – Mental Health Counselor, NPI 1043516925

JACK KETTERING (MA) is a healthcare provider. based in Riverdale, Utah. specializing in Mental Health Counselor. They hold the professional credentials MA. The NPI Number for JACK KETTERING (MA) is 1043516925

Main info

Male
Sole Proprietor
Name
JACK KETTERING (MA)
NPI
1043516925
Phone
(480) 543-0038
Address
899 CARTER DR
Enumeration Date
9 February 2011
Last Update Date
14 October 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for JACK KETTERING (MA)

  • 899 CARTER DR

    RIVERDALE, UT 844052630

    Phone: (480) 543-0038

    Type: Mailing

  • 930 W HILL FIELD RD

    A

    LAYTON, UT 840414662

    Phone: (801) 366-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84405)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for JACK KETTERING (MA)?
Save NPI 1043516925 if you need a stable reference for JACK KETTERING (MA).
Is JACK KETTERING (MA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JACK KETTERING (MA) treat or focus on?
Patients typically see JACK KETTERING (MA) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is JACK KETTERING (MA)'s primary listing?
We display Riverdale, Utah because that is what the record indicates for JACK KETTERING (MA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

AXIS-ONE INC

Mental Health Counselor
5149, South 1500 West, Riverdale, Weber County, Utah, 84056, United States
NPI: 1154300234

MRS. CHERYL KELSTROM-SMITH (LCSW)

Mental Health Counselor
5522 S. 3100 W
NPI: 1740335850

WILLIAM DALE ARROWSMITH (LPC)

Mental Health Counselor
5129 S 1500 W
NPI: 1619263688

MELANIE RICHARDSON (LCSW)

Clinical Social Worker
2184 CHANNING WAY # 157
NPI: 1013328103
1858 W 5150 S
NPI: 1578951950

THE PHOENIX RECOVERY & COUNSELING CENTER - RIVERDALE

Substance Use Disorder Rehabilitation Clinic/Center
5133, South 1500 West, Riverdale, Weber County, Utah, 84067, United States
NPI: 1346600293

LANDON WEEKS

Counselor
6013, Redwood Road, Taylorsville, Salt Lake County, Utah, 84123, United States
NPI: 1326590654

SHAYLEE NICOLE BUDORA (CMHC)

Mental Health Counselor
2727 N Washington Blvd
NPI: 1629506944

JESSICA DAWN BLACK (ACMHC)

Mental Health Counselor
5398, South 1345 West, Riverdale, Weber County, Utah, 84405, United States
NPI: 1619529500