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BRIAN TANNER TIMBERLAKE
NPI 1497444855
Social Worker - Clinical in Roosevelt, UT

Active since May 02, 2023PECOS Enrolled
290 W 800 S, ROOSEVELT, UT 84066(435) 725-6300(435) 725-6325 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, May 2, 2023 (2 updates tracked since 2023).

About Brian Tanner Timberlake NPPES

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

BRIAN TANNER TIMBERLAKE (NPI 1497444855) is an individual clinical provider in Roosevelt, Utah, licensed in Utah (9853642-3501) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roosevelt, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497444855
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN TANNER TIMBERLAKE
Location Address290 W 800 SRoosevelt, UT 84066
Mailing Address1140 W 500 S Ste 9Vernal, UT 84078-2912 · (435) 725-6300 · Fax (435) 725-6325
Phone(435) 725-6300
Fax(435) 725-6325
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1497444855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 9853642-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
290 W 800 S, Roosevelt, UT 84066
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Secondary Practice Location 1

Location 1285 W 800 SRoosevelt, UT 84066-3707 · Phone (435) 725-6300 · Fax (435) 725-6325

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Tanner Timberlake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799240719
PECOS Enrollment IDI20260721002109
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Timberlake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uintah Basin Tri-Co Mental Health & Substance Abuse Local Authority
28 mi
Community/Behavioral Health
1140 W 500 S
Vernal, UT 84078
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Uintah Basin Tri-County Mental Health And Substance Abuse Local Author
  • 27 clinicians in this Medicare group
NPI 1891873121 (435) 725-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREVER BIRCHELL
Counselor (Mental Health)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
KAYLA ELAINE TAYLOR
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
HOLLY MICHELLE MICKELSON
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
JANNELL BARKER
Case Manager/Care Coordinator
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
ANNA REICHERT
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
LEXIE IVERSON LCSW
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
SYDNEE KUNZ
Counselor (Mental Health)
290 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300

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 Brian Timberlake's NPI number?

The NPI number for Brian Timberlake is 1497444855. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Brian Timberlake located?

Brian Timberlake practices at 290 W 800 S, Roosevelt, UT 84066. The listed phone number is (435) 725-6300.

What is Brian Timberlake's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brian Timberlake enrolled in Medicare?

Yes. Brian Timberlake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Timberlake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Timberlake reassigns Medicare benefits to Uintah Basin Tri-Co Mental Health & Substance Abuse Local Authority (Vernal, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Timberlake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Timberlake accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Brian Timberlake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Timberlake was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.