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KENNA MARIE BROOKS
NPI 1033631668
Peer Specialist in Lacey, WA

Active since July 14, 2017
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503(360) 999-9053 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2019, Jul 14, 2017 (2 updates tracked since 2017).

About Kenna Marie Brooks NPPES

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

KENNA MARIE BROOKS (NPI 1033631668) is an individual peer specialist in Lacey, Washington, licensed in Washington (CG60792062) and active in the NPI registry since July 2017. She maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1033631668
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKENNA MARIE BROOKS
Location Address612 WOODLAND SQUARE LOOP SE STE 401Lacey, WA 98503-1070
Mailing Address9611 Washington Blvd SwLakewood, WA 98498-1248 · (928) 503-5422
Phone(360) 999-9053
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration
✔ NPI 1033631668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG60792062
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
612 WOODLAND SQUARE LOOP SE STE 401, Lacey, WA 98503
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Secondary Practice Location 1

Location 1908 5th Ave SEOlympia, WA 98501-1507 · Phone (360) 754-2423 ext. 078

Other Identifiers 2

Medicaid1033631668WA
Other1780913657WA · Telecare Mobile Outreach Team

Other Providers at the Same Location NPPES 20

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

CASSIDY MEYER
Counselor (Mental Health)
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
NICHOLAS E GRAHAM
Peer Specialist
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
AARON J WITTENBERG
Peer Specialist
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
JEREMY C MOSHIER
Peer Specialist
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
CHRISTINA L VALENCIA
Counselor
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
SARAH SELF GAUTREAUX MSW, LICSWA
Social Worker
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 754-1338
ZILDJIAN M VIERS
Counselor (Mental Health)
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5828
HEATHER K GOZDZIALSKI
Social Worker
612 WOODLAND SQUARE LOOP SE STE 401
LACEY, WA 98503
Thurston County (360) 763-5796

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 Kenna Brooks's NPI number?

The NPI number for Kenna Brooks is 1033631668. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Kenna Brooks located?

Kenna Brooks practices at 612 Woodland Square Loop SE Ste 401, Lacey, WA 98503. The listed phone number is (360) 999-9053.

What is Kenna Brooks's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenna Brooks was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.