BROOKE WITTMAN CMHC NPI 1114818747

NPI Information

  • NPI: 1114818747
  • Provider Name: BROOKE WITTMAN, CMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10434 S 1055 W STE 201
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (801) 655-5450

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NPI Details

Brooke Wittman, CMHC is a mental health counselor in South Jordan, UT with 3 years of experience. Brooke Wittman, CMHC NPI is 1114818747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10434 S 1055 W STE 201
SOUTH JORDAN, UT
ZIP 84095-522
Phone: (801) 655-5450
Fax: (385) 225-9327

The NPI 1114818747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/11/2025 and was last updated on 9/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health13408610-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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