1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Counselor
  6. NPI Profile

EVAN TODD BRACKENBURY
NPI 1982462750
Counselor in Tacoma, WA

Active since March 07, 2024
8811 S TACOMA WAY STE 204&206, TACOMA, WA 98499(425) 217-1140 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Mar 7, 2024 (2 updates tracked since 2024).

About Evan Todd Brackenbury NPPES

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

EVAN TODD BRACKENBURY (NPI 1982462750) is an individual counselor in Tacoma, Washington and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1982462750
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEVAN TODD BRACKENBURY
Location Address8811 S TACOMA WAY STE 204&206Tacoma, WA 98499-4595
Mailing Address11114 W Arica RdCasa Grande, AZ 85193-9033 · (520) 634-8601
Phone(425) 217-1140
Sole ProprietorNo
Enumeration DateMarch 7, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1982462750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedBehavior TechnicianTaxonomy 106S00000X
8811 S TACOMA WAY STE 204&206, Tacoma, WA 98499
Open in Google Maps ↗

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.

GABRIELLE JOY MITCHELL
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (425) 217-1140
MELANIE ROYER
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (425) 217-1140
HANNAH S KIM
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (425) 217-1140
MR. DYLAN PAUL SMITH
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (253) 559-0323
DORA ROCKAFELLOW
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (425) 217-1140
ALEXANDER HERBST
Behavior Technician
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499
Pierce County (425) 217-1140
COURTNEY GRAVUNDER
Behavior Technician
8811 S TACOMA WAY STE 204&206
TACOMA, WA 98499
Pierce County (425) 217-1140
BELLE IZAURA-KRISTIAN
Behavior Technician
8811 S TACOMA WAY STE 204&206
TACOMA, WA 98499
Pierce County (425) 217-1140

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 Evan Brackenbury's NPI number?

The NPI number for Evan Brackenbury is 1982462750. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Evan Brackenbury located?

Evan Brackenbury practices at 8811 S Tacoma Way Ste 204&206, Tacoma, WA 98499. The listed phone number is (425) 217-1140.

What is Evan Brackenbury's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Evan Brackenbury was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.