Individual provider Active NPI

Brenda Wesson, CMHC

  • Professional Counselor
  • Springville, UT
National Provider Identifier
1003141326
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1125766004 Issued in UT
Practice address
14 N Main St
Springville, UT 84663-1350
Phone
(801) 310-7478
NPI assigned
Oct 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1125766004 UT Primary

Addresses

Primary practice location

14 N Main St
Springville, UT 84663-1350

Mailing address

14 N Main St
Springville, UT 84663-1350
Phone (801) 310-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001009 UT Practitioner - Mental Health Counselor 0749773398 Practice locations: Springville, UT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 N Main St
Springville, UT 84663-1350
Phone (801) 310-7478

9881 S High Oak VW
Salem, UT 84653-8201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1125766004UTMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1003141326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631350",
            "telephone_number": "801-310-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631350",
            "telephone_number": "801-310-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSON",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "1125766004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.