Individual provider Active NPI

Donald Alexander Bruey, LCMHC

  • Mental Health Counselor
  • South Salt Lake, UT
National Provider Identifier
1871324079
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13975510-6009 Issued in UT
Practice address
31 W Shelley Ave
South Salt Lake, UT 84115-3527
Phone
(385) 422-3574
NPI assigned
Aug 9, 2024
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13975510-6009 UT Primary

Addresses

Primary practice location

31 W Shelley Ave
South Salt Lake, UT 84115-3527

Mailing address

31 W Shelley Ave
South Salt Lake, UT 84115-3527

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
I20260520003989 UT Practitioner - Mental Health Counselor 0941779763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Utah School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 E Viewcrest Dr
Salt Lake City, UT 84124-3932

7070 S Union Park Ave
Suite 150
Midvale, UT 84047-6043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13975510-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Willow Iop, PLLC CurrentSince Aug 11, 2024 Accepting new patients
Beehive Mental Health LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

7070 S Union Park Ave
Ste 150
Midvale, UT 84047
Phone (801) 405-7450

1425 S 700 E
#102
Slc, UT 84105
Phone (385) 313-0055

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1871324079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W SHELLEY AVE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W SHELLEY AVE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153527",
            "telephone_number": "385-422-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEY",
        "first_name": "DONALD",
        "middle_name": "ALEXANDER",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13975510-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.