MR. MICHAEL BRANNON PATRICK C.S.W.
NPI 1851532410
Counselor - Addiction (Substance Use Disorder) in Salt Lake City, UT

Q: What is Michael Patrick's NPI number?

The NPI number for Michael Patrick is 1851532410. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Q: What is Michael Patrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Patrick was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 11, 2009PECOS Enrolled

660 S 200 E STE 308, SALT LAKE CITY, UT 84111(801) 355-2846(801) 359-3244 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Michael Brannon Patrick C.s.w. NPPES

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

MR. MICHAEL BRANNON PATRICK C.S.W. (NPI 1851532410) is an individual addiction (substance use disorder) provider in Salt Lake City, Utah, licensed in Utah (7217400-3502) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851532410

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. MICHAEL BRANNON PATRICKCredential: C.S.W.

Location Address660 S 200 E STE 308Salt Lake City, UT 84111-3853

Mailing Address660 S 200 E Ste 308Salt Lake City, UT 84111-3853 · (801) 355-2846 · Fax (801) 359-3244

Phone(801) 355-2846

Fax(801) 359-3244

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 11, 2009

✔ NPI 1851532410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in UT · 7217400-3502

660 S 200 E STE 308, Salt Lake City, UT 84111

Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Brannon Patrick C.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729551338

PECOS Enrollment IDI20260625001473

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 Michael Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Traverse Family Therapy LLC

17 mi

Clinical

60 W CANYON CREST RD STE 101
Alpine, UT 84004

Reassigned Medicare billing, Utah enrollment

NPI 1710820386 (385) 224-5128

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 10

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

MR. ROBERT WOLFGANG WESEMANN LPC

Counselor (Professional)