KELLEY JEAN BRUSOE
NPI 1659846319
Counselor - Addiction (Substance Use Disorder) in Burien, WA

Active since October 09, 2018
1210 SW 136TH ST, BURIEN, WA 98166(206) 257-6757 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Jean Brusoe NPPES

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

KELLEY JEAN BRUSOE (NPI 1659846319) is an individual addiction (substance use disorder) provider in Burien, Washington, licensed in Washington (CO60571280) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1659846319
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY JEAN BRUSOE
Location Address1210 SW 136TH STBurien, WA 98166-1214
Mailing Address3717 148th St Sw Apt C101Lynnwood, WA 98087-5537 · (920) 530-7189
Sole ProprietorNo
Enumeration DateOctober 9, 2018
NPI 1659846319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CO60571280
1210 SW 136TH ST, Burien, WA 98166

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.

Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
Registered Nurse (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
Nurse Practitioner (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
Counselor
1210 SW 136TH ST
BURIEN, WA 98166
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166

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 Kelley Brusoe's NPI number?

The NPI number for Kelley Brusoe is 1659846319. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kelley Brusoe located?

Kelley Brusoe practices at 1210 SW 136th St, Burien, WA 98166. The listed phone number is (206) 257-6757.

What is Kelley Brusoe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelley Brusoe was last updated on October 9, 2018. 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.