Brandee Lee Lotte Downes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8769861-3902 Issued in UT

Practice address

121 W 200 S
Farmington, UT 84025-2327

Phone

(138) 531-9110

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Divine Awakening Center LLC

  • Marriage & Family Therapist
  • Farmington, UT
  • NPI 1710670617
  NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1659626547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W STEED DR",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840755136",
            "telephone_number": "385-319-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 200 S",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252327",
            "telephone_number": "138-531-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNES",
        "first_name": "BRANDEE",
        "middle_name": "LEE LOTTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8769861-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260022408",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Awakening Center LLC
• James Daniel Doll, DMD
• Daniel Mackenzie Donaldson, PHARMD
• Chandler Donkersgoed
• Kasandra Douglas, RBT
• Krista Lynn Duarte, LCSW
• Dell P Dunn, M.D.
• George M Dunnigan, 8018916423
• Raymond Russell Durham, DMD
• Dybreak Behavioral Healthcare

• Marriage & Family Therapist in Farmington, UT
• Providers in Farmington, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.