Individual provider Active NPI

Brent Westover, LMFT

  • Marriage & Family Therapist
  • Tooele, UT
National Provider Identifier
1437444932
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-161 Issued in WY
Practice address
22 W Vine St
Tooele, UT 84074-2035
Phone
(435) 882-4354
Fax
(844) 525-9890
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 LMFT-161 WY Primary

Addresses

Primary practice location

22 W Vine St
Tooele, UT 84074-2035

Mailing address

22 W Vine St
Tooele, UT 84074-2035
Phone (435) 882-4354

Other practice location 1

821 Sage Ave
Kemmerer, WY 83101-3113
Phone (307) 877-4466

Other identifiers 1

IdentifierTypeStateIssuer
1972624062MedicaidWY

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
LMFT-161WYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear'S Ears Child and Family Therapy LLC Current Accepting new patients

Locations

22 W Vine St
Tooele, UT 84074
Phone (435) 882-4354

1244 N Main St
Ste 203
Tooele, UT 84074
Phone (435) 843-9900

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1437444932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W VINE ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742035",
            "telephone_number": "435-882-4354",
            "fax_number": "844-525-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W VINE ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742035",
            "telephone_number": "435-882-4354",
            "fax_number": "844-525-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Sage Ave",
            "address_purpose": "LOCATION",
            "city": "Kemmerer",
            "state": "WY",
            "postal_code": "831013113",
            "country_code": "US",
            "telephone_number": "307-877-4466",
            "fax_number": "307-877-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTOVER",
        "first_name": "BRENT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "LMFT-161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972624062",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.