BRANDY OTO COUNSELING (NPI# 1720612112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720612112 |
| Entity Type | Organization |
| Organization Name | BRANDY OTO COUNSELING |
| Practice Address |
27203 216th Ave Se Ste 5 Maple Valley WA 98038-3273 |
| Mailing Address |
23307 Se 269th St Maple Valley WA 98038-6837 |
| Practice Telephone | 4253102460 |
| Mailing Telephone | 2533346950 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | BRANDY L OTO (OWNER) |
| Authorized Official Telephone | 4253102460 |
| Authorized Official Credential | LMHC, SUDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Thrive Wellness Clinic | Doing Business As Name - Organization |
| Street Address |
27203 216TH AVE SE STE 5 |
| City | MAPLE VALLEY |
| State | WA |
| Zip Code | 98038-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722798 | Mark Evan Fisher | Counselor | 27203 216th Ave Se Ste 5, Maple Valley, WA 98038-3273 | 2020-08-24 |
| 1316560048 | Isaiah F Oto | Counselor | 27203 216th Ave Se Ste 5, Maple Valley, WA 98038-3273 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456357 | Ryan Koichi Taniguchi | Physical Therapist | 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 | 2018-08-13 |
| 1841722311 | Michelle Atkinson | Behavior Technician | 26846 226th Pl Se, Maple Valley, WA 98038 | 2017-04-03 |
| 1285019828 | Blue River Counseling, LLC | Counselor | 22728 228th Avenue Se, Maple Valley, WA 98038 | 2015-07-24 |
| 1619356060 | Victoria Labrie | Specialist/Technologist | 24961 230th Pl Se, Maple Valley, WA 98038 | 2015-05-19 |
| 1114328523 | Scott Joseph Akers | Physical Therapist | 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 | 2014-09-05 |
| 1487069647 | Thomas A. Holt Dds Pllc | Dentist | 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 | 2014-06-26 |
| 1548515216 | Stirewalt PC | Dentist | 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 | 2012-07-19 |
| 1124399183 | Samantha Halfen | Counselor | 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 | 2012-01-24 |
| 1326336868 | Troy Aaron Nordyke | Physical Therapist | 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 | 2011-07-19 |
| 1598074510 | Luna Healthcare, LLC | Audiologist-Hearing Aid Fitter | 22010 Se 248th Street, Maple Valley, WA 98038 | 2010-09-27 |
| Find all providers in zip 98038 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
Please comment or provide details below to improve the information on BRANDY OTO COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.