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BRENT KEELER SHUSTER ACMHC
NPI 1417456401
Counselor - Mental Health in Salt Lake City, UT

Active since February 06, 2018Opted out of Medicare · through Jan 4, 2028
3556 S 5600 W # 1-472, SALT LAKE CITY, UT 84120(801) 210-9443 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2020, Apr 14, 2018 (2 updates tracked since 2018).

About Brent Keeler Shuster Acmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT KEELER SHUSTER ACMHC (NPI 1417456401) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (11226387-6004) and active in the NPI registry since February 2018. He has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1417456401
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRENT KEELER SHUSTERCredential: ACMHC
Location Address3556 S 5600 W # 1-472Salt Lake City, UT 84120-2815
Mailing Address111 E 5600 S Ste 304Murray, UT 84107-8174 · (801) 210-9443
Phone(801) 210-9443
Sole ProprietorYes
Enumeration DateFebruary 6, 2018
Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 19, 2022
✔ NPI 1417456401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 11226387-6004
3556 S 5600 W # 1-472, Salt Lake City, UT 84120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brent Keeler Shuster Acmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Shuster's NPI number?

The NPI number for Brent Shuster is 1417456401. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Where is Brent Shuster located?

Brent Shuster practices at 3556 S 5600 W # 1-472, Salt Lake City, UT 84120. The listed phone number is (801) 210-9443.

What is Brent Shuster's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brent Shuster enrolled in Medicare?

No. Brent Shuster has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brent Shuster was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.