Individual provider Active NPI

Brody Kent Bates, CMHC

  • Mental Health Counselor
  • Orem, UT
National Provider Identifier
1831546266
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9668264-6004 Issued in UT
Practice address
1431 S 550 E # 6
Orem, UT 84097-7719
Phone
(801) 318-4721
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 9668264-6009 UT
Mental Health Counselor 101YM0800X 9668264-6004 UT Primary

Addresses

Primary practice location

1431 S 550 E # 6
Orem, UT 84097-7719

Mailing address

1822 W 795 S
Orem, UT 84058-5026
Phone (801) 318-4721

Other practice location 1

1822 W 795 S
Orem, UT 84058-5026
Phone (801) 318-4721

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
9668264-6004UTMDMental Health Counselor
9668264-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit View Counseling Mental Health Current Accepting new patients

Locations

1425 S 550 E
Orem, UT 84097
Phone (801) 318-4721

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1831546266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 W 795 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585026",
            "telephone_number": "801-318-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 S 550 E # 6",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977719",
            "telephone_number": "801-318-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 W 795 S",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840585026",
            "country_code": "US",
            "telephone_number": "801-318-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "BRODY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9668264-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9668264-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.