Brett Blanchard, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8716801-6004 Issued in UT

Practice address

140 W 2100 S Ste 244
Salt Lake City, UT 84115-1980

Phone

(385) 231-8387

Fax

(801) 660-2474

NPI assigned

Feb 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Military and Veteran Counseling Center, LLC

  • Clinical Social Worker
  • Murray, UT
  • NPI 1922404854
  NPD (past)
• Phoenix Rebellion Therapy, LLC

  • Clinical Social Worker
  • Murray, UT
  • NPI 1134759186
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1265972285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 244",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151980",
            "telephone_number": "385-231-8387",
            "fax_number": "801-660-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 244",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151980",
            "telephone_number": "385-231-8387",
            "fax_number": "801-660-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "BRETT",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8716801-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gerald Blakeslee, ATC, LAT
• Gretchen L. Blakey
• Meridith Blakley
• G Marsden Blanch, M.D.
• Jonathan W Blanch, MD
• Jessica Blanchard, PHARMD
• Katelynn Blanchard
• Emily Blanchat
• Odalis Blanco-Bahena
• David Patricio Blanco, D.D.S.

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.