Active NPI
Brent Westover, LMFT
- Marriage & Family Therapist
- Tooele, UT
National Provider Identifier
1437444932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624062 | Medicaid | WY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-161 | WY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tooele, UT
- NPI 1316419021
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.