Individual provider Active NPI

Chet David Brooks, LMFT

  • Marriage & Family Therapist
  • Ogden, UT
National Provider Identifier
1376648048
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5397632-3902 Issued in UT
Practice address
3670 Quincy Ave Ste 101
Ogden, UT 84403-1906
Phone
(801) 690-3147
NPI assigned
Sep 14, 2006
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 5397632-3902 UT Primary

Addresses

Primary practice location

3670 Quincy Ave Ste 101
Ogden, UT 84403-1906

Mailing address

3670 Quincy Ave Ste 101
Ogden, UT 84403-1906
Phone (801) 690-3147

Other practice location 1

90 E 200 N
Logan, UT 84321-4034
Phone (435) 752-0750

Other identifiers 1

IdentifierTypeStateIssuer
75702OtherUTPEHP

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

LicenseStateTypeSpecialty
5397632-3902UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1376648048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031906",
            "telephone_number": "801-690-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031906",
            "telephone_number": "801-690-3147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 E 200 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843214034",
            "country_code": "US",
            "telephone_number": "435-752-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHET",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5397632-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "75702",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.