Individual provider Active NPI

Brittany J Petersen, LMFT, LPC, CMHC

  • Marriage & Family Therapist
  • Salt Lake City, UT
National Provider Identifier
1659984037
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13755821-3902 Issued in UT
Practice address
470 W 200 N Unit 131
Salt Lake City, UT 84103-1692
Phone
(417) 214-3158
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13755821-6004 UT
Professional Counselor 101YP2500X 2020028432 MO
Marriage & Family Therapist 106H00000X 202002768 MO
Marriage & Family Therapist 106H00000X 13755821-3902 UT Primary

Addresses

Primary practice location

470 W 200 N Unit 131
Salt Lake City, UT 84103-1692

Mailing address

470 W 200 N Unit 131
Salt Lake City, UT 84103-1692
Phone (417) 214-3158

Other practice location 1

512 W 750 S Ste A
Woods Cross, UT 84010-7221
Phone (801) 935-8449

Other practice location 2

248 E 13800 S Ste 4
Draper, UT 84020-5011
Phone (801) 816-1801

Other names 1

  • Brittany J Ayers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403001628 UT Practitioner - Marriage and Family Therapist 9931559507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah a Christensen PHD and Associates, IncGroup PAC ID 6901891498, 27 clinicians

Practice addresses (Care Compare)

248 E 13800
Suite 4
Draper, UT 84020-5011
Phone (702) 483-5044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13755821-6004UTMDMental Health Counselor
202002768MOMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a Christensen PHD & Associates, Inc CurrentSince Feb 1, 2025 Accepting new patients
Corner Canyon Counseling PastSince Nov 7, 2025 Accepting new patients
Sol Recovery Community, Inc. PastSince Feb 2, 2025 Accepting new patients
Sol Recovery Community, Inc. PastSince Mar 19, 2023 Accepting new patients

Locations

248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044

Organizations & group practices 4

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1659984037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W 200 N UNIT 131",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031692",
            "telephone_number": "417-214-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 200 N UNIT 131",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031692",
            "telephone_number": "417-214-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 W 750 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Woods Cross",
            "state": "UT",
            "postal_code": "840107221",
            "country_code": "US",
            "telephone_number": "801-935-8449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 E 13800 S Ste 4",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205011",
            "country_code": "US",
            "telephone_number": "801-816-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "BRITTANY",
        "middle_name": "J",
        "credential": "LMFT, LPC, CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13755821-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020028432",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "202002768",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13755821-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "AYERS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.