Active NPI
Brett Potter Barrett Jr., CPSS
- Peer Specialist
- Salt Lake City, UT
National Provider Identifier
1265260145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2705
- Practice address
- 140 W 2100 S Ste 140
Salt Lake City, UT 84115-1852 - Phone
- (801) 896-7930
- NPI assigned
- Jul 23, 2024
- Sex
- Unspecified or another gender identity
- 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 | 2705 | UT | Primary |
Addresses
Primary practice location
140 W 2100 S Ste 140
Salt Lake City, UT 84115-1852
Mailing address
140 W 2100 S Ste 140
Salt Lake City, UT 84115-1852
Phone (801) 896-7930
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2705 | UT | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifton R Uckerman LCSW | Past | 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.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1326799941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1265260145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 2100 S STE 140",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841151852",
"telephone_number": "801-896-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 2100 S STE 140",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841151852",
"telephone_number": "801-896-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "BRETT",
"middle_name": "POTTER",
"name_suffix": "Jr.",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": "2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.