BRENAN R GODFREY RBT
NPI 1861157877
Marriage & Family Therapist in Providence, UT

Active since November 04, 2021PECOS Enrolled
169 N GATEWAY DR, PROVIDENCE, UT 84332(435) 915-6927(435) 220-2030 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenan R Godfrey Rbt NPPES

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

BRENAN R GODFREY RBT (NPI 1861157877) is an individual marriage & family therapist in Providence, Utah, licensed in Utah (14176565-3902) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861157877
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBRENAN R GODFREYCredential: RBT
Location Address169 N GATEWAY DRProvidence, UT 84332-9707
Mailing Address87 S Main StClarkston, UT 84305-7732 · (801) 655-4950
Fax(435) 220-2030
Sole ProprietorNo
Enumeration DateNovember 4, 2021
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1861157877 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 · 14176565-3902
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.
169 N GATEWAY DR, Providence, UT 84332

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenan R Godfrey Rbt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physician Assistant
169 N GATEWAY DR
PROVIDENCE, UT 84332
Dentist
169 N GATEWAY DR, SUITE #105
PROVIDENCE, UT 84332

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 Brenan Godfrey's NPI number?

The NPI number for Brenan Godfrey is 1861157877. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Brenan Godfrey located?

Brenan Godfrey practices at 169 N Gateway Dr, Providence, UT 84332. The listed phone number is (435) 915-6927.

What is Brenan Godfrey's specialty?

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

Is Brenan Godfrey enrolled in Medicare?

Yes. Brenan Godfrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenan Godfrey was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.