Active NPI
Brody Kent Bates, CMHC
- Mental Health Counselor
- Orem, UT
National Provider Identifier
1831546266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9668264-6004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9668264-6004 | UT | MD | Mental Health Counselor |
| 9668264-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.