Individual provider Active NPI

Brady C Eisert, LMFT

  • Marriage & Family Therapist
  • Orem, UT
National Provider Identifier
1659137792
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
14271132-3902 Issued in UT
Practice address
1452 E 820 N Uppr Levl
Orem, UT 84097-5481
Phone
(801) 648-9664
NPI assigned
Feb 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCMFT03386 KS
Marriage & Family Therapist 106H00000X 14271132-3902 UT Primary
Marriage & Family Therapist 106H00000X 2025003128 MO

Addresses

Primary practice location

1452 E 820 N Uppr Levl
Orem, UT 84097-5481

Mailing address

1452 E 820 N Uppr Levl
Orem, UT 84097-5481

Other practice location 1

4710 S Cedar Crest Ct Ste 200
Independence, MO 64055-6993
Phone (816) 400-4110

Other practice location 2

9200 Glenwood St Ste 104
Overland Park, KS 66212-1365
Phone (816) 400-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCMFT03386KSMDMarriage & Family Therapist
2025003128MOMDMarriage & Family Therapist
14271132-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Self-Determined Relationships, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

1452 E 820 N
Uppr
Orem, UT 84097
Phone (801) 438-4059

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1659137792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 E 820 N UPPR LEVL",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 E 820 N UPPR LEVL",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-648-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 S Cedar Crest Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556993",
            "country_code": "US",
            "telephone_number": "816-400-4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Glenwood St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121365",
            "country_code": "US",
            "telephone_number": "816-400-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISERT",
        "first_name": "BRADY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT03386",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14271132-3902",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2025003128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.