Individual provider Active NPI

Branden Hayes Henline, PHD, LMFT, CFLE

  • Marriage & Family Therapist
  • Draper, UT
National Provider Identifier
1467708917
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9287734-3902 Issued in UT
Practice address
13552 S 110 W Ste 204
Draper, UT 84020-2403
Phone
(928) 830-8501
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-15128 AZ
Marriage & Family Therapist 106H00000X 9287734-3902 UT Primary

Addresses

Primary practice location

13552 S 110 W Ste 204
Draper, UT 84020-2403

Mailing address

758 W Valley View Way
Lehi, UT 84043-2667
Phone (928) 830-8501

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT-15128AZMDMarriage & Family Therapist
9287734-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Family Counseling, PLLC Current Accepting new patients
Arizona Center for Couples and Families, LLC Current Accepting new patients

Locations

13552 S 110 W
Ste 204
Draper, UT 84020
Phone (801) 302-0280

Organizations & group practices 2

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1467708917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 W VALLEY VIEW WAY",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432667",
            "telephone_number": "928-830-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 S 110 W STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202403",
            "telephone_number": "928-830-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLINE",
        "first_name": "BRANDEN",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, CFLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15128",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9287734-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.