Individual provider Active NPI

Derek Bruce Barney

  • Mental Health Counselor
  • Washington, UT
National Provider Identifier
1194463133
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9550269-6004 Issued in UT
Practice address
101 N 300 W
Washington, UT 84780-2701
Phone
(435) 220-7005
Fax
(833) 788-2086
NPI assigned
May 20, 2022
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 9550269-6004 UT Primary

Addresses

Primary practice location

101 N 300 W
Washington, UT 84780-2701

Mailing address

4049 W 2440 S
Hurricane, UT 84737-7731
Phone (435) 220-7005

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
I20260207000092 UT Practitioner - Mental Health Counselor 2062991391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4049 W 2440
Hurricane, UT 84737-7731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9550269-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Way Back Counseling PLLC Mental Health CurrentSince Sep 25, 2025 Accepting new patients

Locations

101 N 300 W
Washington, UT 84780
Phone (435) 220-7005

101 N 300 W
Ste B
Washington, UT 84780
Phone (435) 220-7005

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1194463133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 W 2440 S",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847377731",
            "telephone_number": "435-220-7005",
            "fax_number": "833-788-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 300 W",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802701",
            "telephone_number": "435-220-7005",
            "fax_number": "833-788-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "DEREK",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9550269-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

Verify at the official NPI Registry.