Active NPI
Braeden M Guter
- Mental Health Counselor
- Draper, UT
National Provider Identifier
1053870220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12467863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12467863 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Solutions | Current | 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.
-
- Clinical Social Worker
- Draper, UT
- NPI 1598112385
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.