Brett D Baker, ACMHC
Individual provider Active NPI Mental Health Counselor · Orem, UT
NPI 1942011507 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1942011507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 14199626-6009 (UT)
- Practice address
- 504 W 800 N BLDG C
Orem, UT 84057-3746 - Phone
- (801) 449-0017
- NPI assigned
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14199626-6009 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14199626-6009 | UT | Yes |
Addresses
Primary practice location
504 W 800 N BLDG C
Orem, UT 84057-3746
Mailing address
5455 W 11000 N Ste 201
Highland, UT 84003-8820
Phone (801) 449-0017
Other practice location 1
5455 W 11000 N Ste 201
Highland, UT 84003-8820
Phone (801) 449-0017
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.