Brandie Statham
Individual provider Active NPI Mental Health Counselor · American Fork, UT
NPI 1225961972 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1225961972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 384 E 60 S
American Fork, UT 84003-3835 - Phone
- (801) 901-0279
- NPI assigned
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus Ink Systems | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
384 E 60 S
American Fork, UT 84003-3835
Mailing address
384 E 60 S
American Fork, UT 84003-3835
Phone (801) 901-0279
Other providers in American Fork, UT
- SRS-American Fork, LLC
- Karla L Standage
- Corrie Lamoreaux Stapleton
- Star Kids
- Joyce Elaine Starks
- Tiffany Steck
- Robert Blake Steele
- Kallee Beth Stephenson
- Luke Daren Sterger
- Megan Sterling
All providers in American Fork, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.