BRENDA M BRAKE (RC MHP CMHS) – Mental Health Counselor, NPI 1669582623

BRENDA M BRAKE (RC MHP CMHS) is a healthcare provider. based in Seattle, Washington. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials RC MHP CMHS. They hold a License No. RC00053132 (WA). The NPI Number for BRENDA M BRAKE (RC MHP CMHS) is 1669582623

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA M BRAKE (RC MHP CMHS)
NPI
1669582623
Phone
(206) 326-3000
Address
310 15th Ave E
Enumeration Date
30 August 2006
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063263867
Graduation Year
2005 (21 years ago)
PAC ID
8527403070
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20240223003852
Address ID
WA981125103SE310XXEXXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

246 MARRIAGE AND FAMILY THERAPIST in WA

Provider Addresses for BRENDA M BRAKE (RC MHP CMHS)

  • 310 15th Ave E

    Seattle, WA 981125103

    Phone: (206) 326-3000

    Fax: (877) 515-2975

    Type: Location

  • 4219, Woodland Park Avenue North, Fremont, Seattle, King County, Washington, 98103, United States

    SEATTLE, WA 981037424

    Phone:

    Type: Mailing

  • 3320, 173rd Place Northeast, Totem Park, Arlington, Snohomish County, Washington, 98223, United States

    ARLINGTON, WA 982238712

    Phone: (425) 349-8747

    Type: Location

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: 2024-02-23

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
I20240223003852IMarriage And Family TherapistWATBD

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 98112)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BRENDA M BRAKE (RC MHP CMHS) for billing?
Administrative and clinical systems typically use NPI 1669582623 for BRENDA M BRAKE (RC MHP CMHS).
Does the public listing show BRENDA M BRAKE (RC MHP CMHS) as active?
BRENDA M BRAKE (RC MHP CMHS)'s NPI record reflects an active status in NPPES.
What services align with BRENDA M BRAKE (RC MHP CMHS)'s listing?
BRENDA M BRAKE (RC MHP CMHS)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to BRENDA M BRAKE (RC MHP CMHS)?
The directory associates BRENDA M BRAKE (RC MHP CMHS) with Seattle, Washington. Check all listed addresses for suites or satellite offices.
Can I export BRENDA M BRAKE (RC MHP CMHS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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