Individual provider Active NPI

Brayden Sloan, CMHC

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1801352380
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11658796-6004 Issued in UT
Practice address
225 N Country LN Unit 55
St George, UT 84770-8458
Phone
(406) 253-2810
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-31477 MT
Mental Health Counselor 101YM0800X 11658796-6004 UT Primary

Addresses

Primary practice location

225 N Country LN Unit 55
St George, UT 84770-8458

Mailing address

225 N Country LN Unit 55
St George, UT 84770-8458
Phone (406) 253-2810

Other practice location 1

2413 W Main St Ste 1
Bozeman, MT 59718-3807
Phone (406) 253-2810

Other practice location 2

120 W Callender St # 2
Livingston, MT 59047-2667
Phone (406) 253-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-31477MTMDMental Health Counselor
11658796-6004UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1801352380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N COUNTRY LN UNIT 55",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847708458",
            "telephone_number": "406-253-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N COUNTRY LN UNIT 55",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847708458",
            "telephone_number": "406-253-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597183807",
            "country_code": "US",
            "telephone_number": "406-253-2810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Callender St # 2",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590472667",
            "country_code": "US",
            "telephone_number": "406-253-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "BRAYDEN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-31477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11658796-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.