Active NPI 1316539653 Individual Practitioner Male Practitioner

Richard Douglas Killpack

Peer Specialist • Provo, UT

Professional Overview & Biography Verified Profile Summary

Richard Killpack is a registered healthcare professional specializing in Peer Specialist in Provo, UT. Practice services are available at 750 N FREEDOM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760

Associated Practice Facility / Clinic

🏢 Wasatch Behavioral Health Special Service District Facility NPI 1356357115

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Provo, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

64 Specialists

Practicing in Provo, UT (474 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-08

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

1885 Ute Blvd

Park City, UT 840987680

Phone: 3854473521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Nicole Cossey , HSW

Case Manager/Care Coordinator

NPI 1003082793

Brent Simons

Social Worker

NPI 1003106196

Louie Hamner

Student in an Organized Health Care Education/Training Program

NPI 1003114232

Sunnie Giles

Student in an Organized Health Care Education/Training Program

NPI 1003194325

Vili Lolohea

Student in an Organized Health Care Education/Training Program

NPI 1003199191

Justine Eggleston

Social Worker - Clinical

NPI 1003266255

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 08, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2021

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

📍

Updated Business Mailing Address February 08, 2021

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤

Provider Name / Credentials Updated February 08, 2021

Recorded as RICHARD KILLPACK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2021

Peer Specialist

🟢

Initial NPI Registration & Enumeration February 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316539653

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 08, 2021

Last Update: February 08, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.