MEDICARE: KRISTINE LOUISE LUBLIN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	346117-6004	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	942938348LUB	OTHER	UT	EDUCATORS MUTUAL
2	107026648101	OTHER	UT	INTERMOUNTAIN HEALTH CARE
3	346117600400001	OTHER	UT	BLUE CROSS
4	827412	OTHER	UT	DESERET MUTUAL

General Provider Information

NPI Number	:	1942280557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE LOUISE LUBLIN LPC

Provider Business Mailing Address
First Line	:	4460 S HIGHLAND DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-3543
Country	:	US
Telephone Number	:	888-949-4864
Fax Number	:	801-646-5160

Provider Business Practice Location Address
First Line	:	4460 S HIGHLAND DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-3543
Country	:	US
Telephone Number	:	888-949-4864
Fax Number	:	801-646-5160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	01/11/2021

Similar Medicare Providers

1023727161 — JANETTE TAYLOR
Practice Location Address:

4460 S HIGHLAND DR
SALT LAKE CITY, UT
84124-3543

Practice Phone: 888-949-4864
Practice Fax:

1912983446 — MR. JAMAL AHMED BARAKAT LPC
Practice Location Address:

4460 S HIGHLAND DR
SALT LAKE CITY, UT
84124-3543

Practice Phone: 888-949-4864
Practice Fax: 801-415-7533

1396723334 — MS. ANDRA MARIE BRUCE LCSW
Practice Location Address:

4460 S HIGHLAND DR , STE 230
SALT LAKE CITY, UT
84124-3543

Practice Phone: 888-949-4864
Practice Fax:

1639157662 — MS. SHARON SEELEY R.N.
Practice Location Address:

4460 HIGHLAND DR , SUITE #100
SALT LAKE CITY, UT
84124-3543

Practice Phone: 801-273-1085
Practice Fax: 801-273-4097

1275503336 — MR. JAY KIMBALL KEELER LCSW
Practice Location Address:

4460 HIGHLAND DR , SUITE #100
SALT LAKE CITY, UT
84124-3543

Practice Phone: 801-273-1085
Practice Fax: 801-273-4097

1093785164 — MRS. LANA STOHL
Practice Location Address:

4460 HIGHLAND DR , SUITE 450
SALT LAKE CITY, UT
84124-3543

Practice Phone: 801-273-6396
Practice Fax:

Directions to “ KRISTINE LOUISE LUBLIN LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.