Individual provider Active NPI

Phebe Brako, PHD

  • Marriage & Family Therapist
  • University Place, WA
National Provider Identifier
1083040927
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60607100 Issued in WA
Practice address
2603 Bridgeport Way W Ste K
University Place, WA 98466-4724
Phone
(253) 778-6636
Fax
(253) 343-9008
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61482491 WA
Marriage & Family Therapist 106H00000X LF60607100 WA Primary

Addresses

Primary practice location

2603 Bridgeport Way W Ste K
University Place, WA 98466-4724

Mailing address

2603 Bridgeport Way W Ste K
University Place, WA 98466-4724
Phone (253) 778-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH61482491WAMDMental Health Counselor
LF60607100WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phebe Brako-Owusu, LMFT, PLLC Marriage & Family Therapist PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1083040927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BRIDGEPORT WAY W STE K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664724",
            "telephone_number": "253-778-6636",
            "fax_number": "253-343-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BRIDGEPORT WAY W STE K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664724",
            "telephone_number": "253-778-6636",
            "fax_number": "253-343-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKO",
        "first_name": "PHEBE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61482491",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60607100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.