Individual provider Active NPI

Brian Lamar Allred, LPC

  • Mental Health Counselor
  • Silex, MO
National Provider Identifier
1265696751
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111470-6004 Issued in UT
Practice address
308 Buck Creek Rd
Silex, MO 63377-2116
Phone
(573) 384-5755
Fax
(573) 384-5756
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 26-0605001 MO
Mental Health Counselor 101YM0800X 111470-6004 UT Primary

Addresses

Primary practice location

308 Buck Creek Rd
Silex, MO 63377-2116

Mailing address

240 Magee St
Suite 320
Troy, MO 63379-3182
Phone (573) 384-5755

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
I20240910002534 UT Practitioner - Mental Health Counselor 6103366794 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coronado Wellness LLC Mental Health CurrentSince Jun 8, 2025 Accepting new patients
Springville Family Counseling Services Mental Health CurrentSince Aug 15, 2024 Accepting new patients
Renovo Boys Academy Residential Treatment Facility, Emotionally Disturbed Children Past Accepting new patients

Locations

11576 S State St
Ste 202
Draper, UT 84020
Phone (801) 960-9355

3507 N University Ave
Ste 225
Provo, UT 84604
Phone (801) 491-0222

1220 N Main St
Ste 11
Springville, UT 84663
Phone (801) 361-0982

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1265696751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAGEE ST",
            "address_2": "SUITE 320",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633793182",
            "telephone_number": "573-384-5755",
            "fax_number": "573-384-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BUCK CREEK RD",
            "city": "SILEX",
            "state": "MO",
            "postal_code": "633772116",
            "telephone_number": "573-384-5755",
            "fax_number": "573-384-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "BRIAN",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "26-0605001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "111470-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silex, MO

Sources for this page

Verify at the official NPI Registry.