Individual provider Active NPI

Brian K Campbell, LMFT

  • Marriage & Family Therapist
  • Pleasant View, UT
National Provider Identifier
1063733764
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
352006-3902 Issued in UT
Practice address
3149 N Hwy 89
#303
Pleasant View, UT 84404-1201
Phone
(801) 782-6600
Fax
(801) 782-6551
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 352006-3902 UT Primary

Addresses

Primary practice location

3149 N Hwy 89
#303
Pleasant View, UT 84404-1201

Mailing address

3149 N Hwy 89
#303
Pleasant View, UT 84404-1201
Phone (801) 782-6600

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
I20241107004055 UT Practitioner - Marriage and Family Therapist 7618401050 Practice locations: Pleasant View, UT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3149 N Hwy 89
Suite 200
Pleasant View, UT 84404-1202
Phone (801) 782-6600

3149 N Hwy 89 200
Pleasant View, UT 84404-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352006-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Counseling Services PastSince Aug 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1063733764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 N HWY 89",
            "address_2": "#303",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844041201",
            "telephone_number": "801-782-6600",
            "fax_number": "801-782-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 N HWY 89",
            "address_2": "#303",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844041201",
            "telephone_number": "801-782-6600",
            "fax_number": "801-782-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "352006-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, UT

Sources for this page

Verify at the official NPI Registry.