Active NPI
Brian Neilson
- Peer Specialist
- South Salt Lake, UT
National Provider Identifier
1174929996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3269 S Main St Ste 110
South Salt Lake, UT 84115-3789 - Phone
- (801) 638-2823
- NPI assigned
- Nov 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | UT | Primary |
Addresses
Primary practice location
3269 S Main St Ste 110
South Salt Lake, UT 84115-3789
Mailing address
3269 S Main St Ste 110
South Salt Lake, UT 84115-3789
Phone (801) 638-2823
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Association of Peer Support Specialists | Current | Accepting new patients |
Locations
3269 S Main St
Ste 110
South Salt Lake, UT 84115
Phone (801) 638-2823
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.
-
- Community/Behavioral Health Agency
- South Salt Lake, UT
- NPI 1356231237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1174929996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3269 S MAIN ST STE 110",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153789",
"telephone_number": "801-638-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 S MAIN ST STE 110",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153789",
"telephone_number": "801-638-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILSON",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-05",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.