ALYSSA BRIN (LPC, CN) – Mental Health Counselor, NPI 1306124276

ALYSSA BRIN (LPC, CN) is a healthcare provider. based in Vancouver, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, CN. They hold a License No. NU60324012 (WA). The NPI Number for ALYSSA BRIN (LPC, CN) is 1306124276

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA BRIN (LPC, CN)
NPI
1306124276
Phone
(518) 810-9069
Address
15817 NE 71ST ST
Enumeration Date
26 July 2011
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032534600
Graduation Year
2012 (14 years ago)
PAC ID
0547707200
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20240731001873
Address ID
OR972331058PO12636JXXX800
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for ALYSSA BRIN (LPC, CN)

  • 15817 NE 71ST ST

    VANCOUVER, WA 986823845

    Phone: (518) 810-9069

    Type: Mailing

  • 5440 SW WESTGATE DR STE 210

    PORTLAND, OR 97221

    Phone: (360) 524-9495

    Type: Location

  • 12636 SE STARK ST BLDG J

    PORTLAND, OR 972331058

    Phone: (503) 253-4600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240731001873IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98682)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
-OR
Clinical PsychologistOR
Clinical Social WorkerOR
Mental Health CounselorTX
Clinical Social WorkerCA
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

What identifier follows ALYSSA BRIN (LPC, CN) across health systems?
The NPI 1306124276 uniquely identifies ALYSSA BRIN (LPC, CN) in U.S. healthcare data.
Is ALYSSA BRIN (LPC, CN)'s NPI status active today?
Active status means ALYSSA BRIN (LPC, CN)'s NPI record is not deactivated in the public file.
What type of care does ALYSSA BRIN (LPC, CN) provide?
ALYSSA BRIN (LPC, CN)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ALYSSA BRIN (LPC, CN) tied to Vancouver, Washington?
If you are local to Vancouver, Washington, ALYSSA BRIN (LPC, CN) may be relevant to your search.
Can I export ALYSSA BRIN (LPC, CN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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