1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Counselor
  6. NPI Profile

MISS KAILE NICOLE BRAKE B.A.
NPI 1740598283
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since September 17, 2010PECOS EnrolledAccepts Medicare Assignment
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823(916) 935-3552(916) 473-5766 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Kaile Nicole Brake B.a. NPPES

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

MISS KAILE NICOLE BRAKE B.A. (NPI 1740598283) is an individual addiction (substance use disorder) provider in Sacramento, California and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740598283
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS KAILE NICOLE BRAKECredential: B.A.
Location Address4343 WILLIAMSBOURGH DRSacramento, CA 95823-2006
Mailing Address4343 Williamsbourgh DrSacramento, CA 95823-2006 · (916) 935-3552 · Fax (916) 473-5766
Phone(916) 935-3552
Fax(916) 473-5766
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2010
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1740598283 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
4343 WILLIAMSBOURGH DR, Sacramento, CA 95823
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kaile Nicole Brake B.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678833134
PECOS Enrollment IDI20180201002810
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 Kaile Brake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
34 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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.

MISS LOLITA PATRICIA XUNCAX RRW
Community Health Worker
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MR. JACESON ALEXANDER SMITH RRW
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. SHANTEL PELOTE
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
LANEESHA LOWE
Counselor
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. PAULINE KNKIM WASHINGTON
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
TYLER MCGEE RRW
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
DAMON COOPER
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MS. MYRAN SMITH CRAWFORD
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552

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 Kaile Brake's NPI number?

The NPI number for Kaile Brake is 1740598283. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is Kaile Brake located?

Kaile Brake practices at 4343 Williamsbourgh Dr, Sacramento, CA 95823. The listed phone number is (916) 935-3552.

What is Kaile Brake's specialty?

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

Is Kaile Brake enrolled in Medicare?

Yes. Kaile Brake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kaile Brake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaile Brake reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Kaile Brake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaile Brake was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.