Damon Paul Bryan, MS
Individual provider Active NPI Marriage & Family Therapist · Holladay, UT
NPI 1609056472 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1609056472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 5406203-3902 (UT)
- Practice address
- 2290 E 4500 S Ste 180
Holladay, UT 84117-4493 - Phone
- (970) 403-2458
- NPI assigned
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5406203-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Canyon Counseling, PLLC | Current |
Accepting new patients | |
| Gibson Ventures, LLC | Past | Accepting new patients |
Locations
2290 E 4500 S
Ste 180
Salt Lake City, UT 84117
Phone (385) 285-8350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5406203-3902 | UT | Yes |
Addresses
Primary practice location
2290 E 4500 S Ste 180
Holladay, UT 84117-4493
Mailing address
2290 E 4500 S Ste 180
Holladay, UT 84117-4493
Phone (970) 259-2162
Other providers in Holladay, UT
- Andrew Winn Bringhurst
- Jillian Brinton
- Sarah Brooks
- Adrienne C Brown
- Layne C Brown
- Brittany Buckner
- BWL Enterprises Inc
- Reagan Byansi
- David S Cannon
- Canyon Sports Therapy Inc
All providers in Holladay, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.