NPIMap

Organization Active NPI

Brandy Oto Counseling

Doing business as Thrive Wellness Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maple Valley, WA
National Provider Identifier
1043982259
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRANDY OTO COUNSELING
Doing business as
Thrive Wellness Clinic
Practice address
27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273
Phone
(425) 584-7570
NPI assigned
Oct 5, 2021
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BRANDY OTO COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandy L Oto, LMHCNPI 1225540784
Title
Owner
Phone
(253) 334-6950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273

Mailing address

27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273
Phone (425) 584-7570

Other names 1

  • Thrive Wellness Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 425-584-7570 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Brandy Oto Counseling2 organizations share this tax ID, including this one
Part of
Brandy Oto Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27203 216th Ave SE
Ste 5
Maple Valley, WA 98038
Phone (253) 334-6950

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1043982259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-584-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-584-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY OTO COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANDY OTO COUNSELING",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "OTO",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-334-6950",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "425-584-7570",
            "affiliation": "N",
            "endpointDescription": "Fax number",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all info",
            "address_1": "27203 216th Ave SE Ste 5",
            "city": "Maple Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980383273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.