BRENDA M BRAKE RC MHP CMHS
NPI 1669582623
Counselor - Mental Health in Arlington, WA

Q: What is Brenda Brake's NPI number?

The NPI number for Brenda Brake is 1669582623. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Brenda M King.

Q: What is Brenda Brake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenda Brake was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 30, 2006PECOS Enrolled

3320 173RD PL NE, ARLINGTON, WA 98223(425) 349-8747 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Brenda M Brake Rc Mhp Cmhs NPPES

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

BRENDA M BRAKE RC MHP CMHS (NPI 1669582623) is an individual mental health provider in Arlington, Washington, licensed in Washington (LH00011151) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1669582623

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBRENDA M BRAKECredential: RC MHP CMHS

Location Address3320 173RD PL NEArlington, WA 98223-8712

Mailing Address4219 Woodland Park Ave NSeattle, WA 98103-7424

Phone(425) 349-8747

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateFebruary 5, 2024

NPPES CertifiedFebruary 5, 2024

✔ NPI 1669582623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in WA · LH00011151✔ Licensed in WA · RC00053132✔ Licensed in MI · 6401009611

3320 173RD PL NE, Arlington, WA 98223

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Other Names 1

Former Name (1)Brenda M King

Secondary Practice Location 1

Location 1310 15th Ave ESeattle, WA 98112-5103 · Phone (206) 326-3000 · Fax (877) 515-2975

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda M Brake Rc Mhp Cmhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Brenda Brake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

12 mi

Multi-Specialty

2930 MAPLE ST
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1386935351 (425) 261-1500

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.

JULIE ROSS

Counselor (Mental Health)