Individual provider Active NPI

Brooke Bradley Bumgardner, CMHC

  • Mental Health Counselor
  • Lehi, UT
National Provider Identifier
1083251540
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10381889-6009 Issued in UT
Practice address
1250 E 200 S Ste 2D
Lehi, UT 84043-1483
Phone
(801) 251-6339
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 10381889-6009 UT Primary

Addresses

Primary practice location

1250 E 200 S Ste 2D
Lehi, UT 84043-1483

Mailing address

1250 E 200 S Ste 2D
Lehi, UT 84043-1483
Phone (801) 251-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10381889-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Family Counseling Mental Health Current 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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1083251540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 200 S STE 2D",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431483",
            "telephone_number": "801-251-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 200 S STE 2D",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431483",
            "telephone_number": "801-251-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "BROOKE",
        "middle_name": "BRADLEY",
        "name_prefix": "Mrs.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10381889-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.