Active NPI
Brent Eschler Wainwright, LICENSED PROFESSIONA
- Professional Counselor
- Sandy, UT
National Provider Identifier
1992762470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2691056004
- Practice address
- 625 East 8400 South
Sandy, UT 84070-0525 - Phone
- (801) 566-2556
- Fax
- (801) 566-2639
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2691056004 | UT | Primary |
Addresses
Primary practice location
625 East 8400 South
Sandy, UT 84070-0525
Mailing address
625 East 8400 South
Sandy, UT 84070
Phone (801) 566-2556
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 |
|---|---|---|---|
| 2691056004 | UT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandy, UT
- NPI 1659324572
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1992762470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 EAST 8400 SOUTH",
"city": "SANDY",
"state": "UT",
"postal_code": "84070",
"telephone_number": "801-566-2556",
"fax_number": "801-566-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 EAST 8400 SOUTH",
"city": "SANDY",
"state": "UT",
"postal_code": "840700525",
"telephone_number": "801-566-2556",
"fax_number": "801-566-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINWRIGHT",
"first_name": "BRENT",
"middle_name": "ESCHLER",
"name_prefix": "Mr.",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "2691056004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.