Active NPI
Brian Wigington, CMHC
- Mental Health Counselor
- Brigham City, UT
National Provider Identifier
1124420567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8442856-6004
- Practice address
- 663 W 950 S
Brigham City, UT 84302-3021 - Phone
- (435) 723-3176
- NPI assigned
- Sep 17, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8442856-6009 | UT | |
| Social Worker | 104100000X | 8442856-3503 | UT | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 8442856-6004 | UT | Primary |
Addresses
Primary practice location
663 W 950 S
Brigham City, UT 84302-3021
Mailing address
4939 S 425 W Apt 3
Washington Terrace, UT 84405-6371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285736553 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brianw@brmh.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1477 N 2000
Suite C
Clinton, UT 84015-9099
Phone (801) 773-4840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8442856-6004 | UT | MD | Mental Health Counselor |
| 8442856-6009 | UT | MD | Mental Health Counselor |
| 8442856-3503 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients |
Locations
1477 N 2000 W
Clinton, UT 84015
Phone (801) 774-8888
1477 N 2000 W
Ste C
Clinton, UT 84015
Phone (801) 546-9441
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- brian.wigington.p1@direct.tannerclinic.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Layton, UT
- NPI 1447239355
-
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
-
- Family Medicine Physician
- Layton, UT
- NPI 1760934533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1124420567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4939 S 425 W APT 3",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "844056371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 W 950 S",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023021",
"telephone_number": "435-723-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGINGTON",
"first_name": "BRIAN",
"credential": "CMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8442856-6009",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "8442856-3503",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8442856-6004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285736553",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brianw@brmh.com",
"affiliation": "N",
"address_1": "663 W 950 S",
"city": "Brigham City",
"state": "UT",
"country_code": "US",
"postal_code": "843023021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.