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BRENDAN COONEY
NPI 1104605039
Counselor - Mental Health in Forks, WA

Active since September 28, 2023PECOS Enrolled
530 BOGACHIEL WAY, FORKS, WA 98331(360) 374-5011 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brendan Cooney NPPES

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

BRENDAN COONEY (NPI 1104605039) is an individual mental health provider in Forks, Washington, licensed in Washington (MC61456318) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104605039
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDAN COONEY
Location Address530 BOGACHIEL WAYForks, WA 98331-9120
Mailing Address530 Bogachiel WayForks, WA 98331-9120 · (360) 374-5011
Phone(360) 374-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1104605039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61456318
530 BOGACHIEL WAY, Forks, WA 98331
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Cooney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698263267
PECOS Enrollment IDI20251024001271
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 Brendan Cooney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clallam County Public Hospital District No 1
Same address
Critical Access
530 BOGACHIEL WAY
Forks, WA 98331
  • Reassigned Medicare billing, Washington enrollment
  • 36 clinicians in this Medicare group
NPI 1891879680 (360) 374-6271

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 20

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

MRS. KELLIE LINN CONNERY P.T.
Physical Therapist
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-6271
SARAH WARD
Counselor (Mental Health)
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-5011
ELIZABETH ANNE YEATER ARNP
Nurse Practitioner (Critical Care Medicine)
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-6271
JESSICA LEE MISHLER
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-5011
LINTON PETERSEN
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-5011
JOLENE PRICE
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-5011
ANN E ROWE MA
Counselor (Mental Health)
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-5011
ANGELIQUE WILLIAMS PHARMD
Pharmacist
530 BOGACHIEL WAY
FORKS, WA 98331
Clallam County (360) 374-6271

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 Brendan Cooney's NPI number?

The NPI number for Brendan Cooney is 1104605039. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Brendan Cooney located?

Brendan Cooney practices at 530 Bogachiel Way, Forks, WA 98331. The listed phone number is (360) 374-5011.

What is Brendan Cooney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brendan Cooney enrolled in Medicare?

Yes. Brendan Cooney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brendan Cooney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Cooney reassigns Medicare benefits to Clallam County Public Hospital District No 1 (Forks, WA). 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 Brendan Cooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Cooney accept?

Health plans from Providence Health Plan list Brendan Cooney 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 Brendan Cooney was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.