Brianna Green, CMHC, MT-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10529333-6004 Issued in UT

Practice address

270 S Main St Ste 104
Bountiful, UT 84010-6249

Phone

(801) 683-9340

NPI assigned

Feb 20, 2020

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brianna Alley Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Feller Behavioral Health Services

  • Clinical Social Worker
  • Bountiful, UT
  • NPI 1295177038
  NPD
• Baymark Health Services of Utah, Inc.

  dba BAART Programs Ogden

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ogden, UT
  • NPI 1982170528
  NPD (past)
• Metamorphosis Ogden, Inc.

  • Methadone Clinic
  • Ogden, UT
  • NPI 1295804110
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1760015515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST STE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106249",
            "telephone_number": "801-683-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST STE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106249",
            "telephone_number": "801-683-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIANNA",
        "credential": "CMHC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "09729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "10529333-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "ALLEY",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grant a. Fairbanks, MD PC
• Grant L Christian MD a Professional Corporation
• Brittney Jess Grant-Reynolds
• Madison Grant
• Abigail Lauren Gray
• Larry Green
• William Mack Green, LCSW, LSAC
• Douglas Allan Greene, PA-C
• Elaina Scott Gregerson, PT, DPT
• Gregory D Hammond MD PC

• Professional Counselor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.