1. Home
  2. Directory
  3. Utah
  4. Providence
  5. Marriage Family Therapist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENAN R GODFREY LMFT
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: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Nov 4, 2021 (2 updates tracked since 2021).

About Brenan R Godfrey Lmft NPPES

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

BRENAN R GODFREY LMFT (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, maintains a secondary practice location in North Logan, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861157877
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBRENAN R GODFREYCredential: LMFT
Location Address169 N GATEWAY DRProvidence, UT 84332-9707
Mailing Address169 N Gateway Dr Ste 170Providence, UT 84332-9855 · (435) 565-6043 · Fax (435) 220-2030
Phone(435) 915-6927
Fax(435) 220-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 4, 2021
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 11635 N 200 ENorth Logan, UT 84341-1913 · Phone (435) 565-6043 · Fax (435) 220-2030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

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

PECOS PAC ID1355808908
PECOS Enrollment IDI20260804003042
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 Brenan Godfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Living Tree Medical Group
3.4 mi
Family Medicine
1635 N 200 E
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
NPI 1639754583 (435) 565-6043

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.

ALEXANDER NATHAN GERBER PA-C
Physician Assistant
169 N GATEWAY DR
PROVIDENCE, UT 84332
Cache County (435) 565-6043
PROVIDENCE PDC PLLC
Dentist
169 N GATEWAY DR, SUITE #105
PROVIDENCE, UT 84332
Cache County (435) 610-2474

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.

Which organization bills Medicare for Brenan Godfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenan Godfrey reassigns Medicare benefits to Living Tree Medical Group (Logan, 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 Brenan Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenan Godfrey accept?

Health plans from Select Health list Brenan Godfrey 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 Brenan Godfrey was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.