Individual provider Active NPI

Braeden M Guter

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1053870220
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12467863 Issued in UT
Practice address
11650 S State St Ste 104
Draper, UT 84020-7144
Phone
(801) 867-3472
Fax
(801) 401-7850
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12467863 UT Primary

Addresses

Primary practice location

11650 S State St Ste 104
Draper, UT 84020-7144

Mailing address

11650 S State St Ste 104
Draper, UT 84020-7144
Phone (801) 867-3472

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.sunrisesolutionsutah.com/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12467863UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Solutions CurrentSince Jun 3, 2022 Accepting new patients

Locations

11650 S State St
Ste 104
Draper, UT 84020
Phone (801) 867-3472

10815 S 700 E
Sandy, UT 84070
Phone (801) 455-0150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1053870220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTER",
        "first_name": "BRAEDEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12467863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.sunrisesolutionsutah.com/",
            "affiliation": "N",
            "endpointDescription": "Sunrise Solutions Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11650 S State St Ste 104",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840207144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.