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DAMON PAUL BRYAN MS
NPI 1609056472
Marriage & Family Therapist in Holladay, UT

Active since November 09, 2007PECOS Enrolled
2290 E 4500 S STE 180, HOLLADAY, UT 84117(970) 403-2458 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2025, Nov 3, 2022 (2 updates tracked since 2022).

About Damon Paul Bryan Ms NPPES

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

DAMON PAUL BRYAN MS (NPI 1609056472) is an individual marriage & family therapist in Holladay, Utah, licensed in Utah (5406203-3902) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1609056472
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDAMON PAUL BRYANCredential: MS
Location Address2290 E 4500 S STE 180Holladay, UT 84117-4493
Mailing Address2290 E 4500 S Ste 180Holladay, UT 84117-4493 · (970) 259-2162
Phone(970) 403-2458
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 9, 2007
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1609056472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 5406203-3902
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2290 E 4500 S STE 180, Holladay, UT 84117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Damon Paul Bryan Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406315233
PECOS Enrollment IDI20260822000530
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 Damon Bryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Ventures, LLC
4.2 mi
Mental Health
1218 W SOUTH JORDAN PKWY STE A2
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1336958735 (385) 645-8889

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

Other Providers at the Same Location NPPES 2

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

SAGE CANYON COUNSELING, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2290 E 4500 S STE 180
HOLLADAY, UT 84117
Salt Lake County (970) 403-2458
TEYNOR PHYSICIANS GROUP PLLC
Psychiatry & Neurology (Psychiatry)
2290 E 4500 S STE 180
SALT LAKE CITY, UT 84117
Salt Lake County (385) 285-8350

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 Damon Bryan's NPI number?

The NPI number for Damon Bryan is 1609056472. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Damon Bryan located?

Damon Bryan practices at 2290 E 4500 S Ste 180, Holladay, UT 84117. The listed phone number is (970) 403-2458.

What is Damon Bryan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Damon Bryan enrolled in Medicare?

Yes. Damon Bryan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Damon Bryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damon Bryan reassigns Medicare benefits to Gibson Ventures, LLC (South Jordan, 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 Damon Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damon Bryan accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Damon Bryan 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 Damon Bryan was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.