JULIE BRENNEISE MA
NPI 1447823018
Counselor - Mental Health in Normandy Park, WA

Active since July 21, 2021Opted out of Medicare · through Sep 12, 2026
19655 1ST AVE S STE 206, NORMANDY PARK, WA 98148(517) 974-9723 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Brenneise Ma NPPES

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

JULIE BRENNEISE MA (NPI 1447823018) is an individual mental health provider in Normandy Park, Washington, licensed in Washington (MC61029936) and active in the NPI registry since July 2021. She has opted out of Medicare through September 12, 2026.

NPPES Registry Identity

NPI1447823018
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJULIE BRENNEISECredential: MA
Location Address19655 1ST AVE S STE 206Normandy Park, WA 98148-2172
Mailing Address19655 1st Ave S Ste 206Normandy Park, WA 98148-2172 · (517) 974-9723
Sole ProprietorYes
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1447823018 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 · MC61029936
19655 1ST AVE S STE 206, Normandy Park, WA 98148

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Julie Brenneise Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 12, 2024 through September 12, 2026.

Opt-Out Effective DateSeptember 12, 2024
Opt-Out In Effect ThroughSeptember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
19655 1ST AVE S STE 206
NORMANDY PARK, WA 98148

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 Julie Brenneise's NPI number?

The NPI number for Julie Brenneise is 1447823018. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Julie Brenneise located?

Julie Brenneise practices at 19655 1st Ave S Ste 206, Normandy Park, WA 98148. The listed phone number is (517) 974-9723.

What is Julie Brenneise's specialty?

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

Is Julie Brenneise enrolled in Medicare?

No. Julie Brenneise has opted out of Medicare through September 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julie Brenneise was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.