Individual provider Active NPI

Brendan Ewell, LMFT

  • Marriage & Family Therapist
  • South Jordan, UT
National Provider Identifier
1457721417
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12853347-3902 Issued in UT
Practice address
10718 S Beckstead LN Ste 103
South Jordan, UT 84095-2605
Phone
(801) 477-0041
NPI assigned
Oct 3, 2015
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 12853347-3902 UT Primary

Addresses

Primary practice location

10718 S Beckstead LN Ste 103
South Jordan, UT 84095-2605

Mailing address

1426 E 820 N
Orem, UT 84097-5481
Phone (801) 477-0041

Other practice location 1

205 N Main St
Spanish Fork, UT 84660-1726
Phone (801) 477-0041

Other practice location 2

1426 E 820 N
Orem, UT 84097-5481
Phone (801) 477-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2025 through May 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12853347-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Utah Center for Couples and Families PastSince Mar 11, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1457721417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 E 820 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-477-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 S BECKSTEAD LN STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952605",
            "telephone_number": "801-477-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601726",
            "country_code": "US",
            "telephone_number": "801-477-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1426 E 820 N",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840975481",
            "country_code": "US",
            "telephone_number": "801-477-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWELL",
        "first_name": "BRENDAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12853347-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.