Individual provider Active NPI

Bryan Eugene Skiles, CMHC, LMHC

  • Mental Health Counselor
  • South Jordan, UT
National Provider Identifier
1265962435
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
129753256004 Issued in UT
Practice address
1258 W South Jordan Pkwy Ste 101
South Jordan, UT 84095-4712
Phone
(385) 446-5021
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60918637 WA
Mental Health Counselor 101YM0800X 129753256004 UT Primary

Addresses

Primary practice location

1258 W South Jordan Pkwy Ste 101
South Jordan, UT 84095-4712

Mailing address

519 E Willow Haven CV
Draper, UT 84020-8905
Phone (425) 260-6773

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
I20260327001560 UT Practitioner - Mental Health Counselor 2365927332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

519 E Willow Haven CV
Draper, UT 84020-8905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129753256004UTMDMental Health Counselor
LH60918637WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Skies Services PLLC Mental Health CurrentSince Nov 18, 2025 Accepting new patients

Locations

1258 W South Jordan Pkwy
Ste 101
South Jordan, UT 84095
Phone (385) 446-5021

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.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1265962435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E WILLOW HAVEN CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208905",
            "telephone_number": "425-260-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954712",
            "telephone_number": "385-446-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILES",
        "first_name": "BRYAN",
        "middle_name": "EUGENE",
        "credential": "CMHC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60918637",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "129753256004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.