Active NPI
Jamie Loretta Brault, M.ED.
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1104155928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60218360
- Practice address
- 1124 Stevens Drive
Richland, WA 99354 - Phone
- (509) 946-1430
- Fax
- (509) 946-1432
- NPI assigned
- Dec 8, 2009
- Last updated
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60218360 | WA | Primary |
Addresses
Primary practice location
1124 Stevens Drive
Richland, WA 99354
Mailing address
1124 Stevens Drive
Richland, WA 99354
Phone (509) 946-1430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60218360 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emmaus Center | Mental Health | Current | Accepting new patients |
Locations
1124 Stevens Dr
Richland, WA 99354
Phone (509) 876-4009
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1104155928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 STEVENS DRIVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99354",
"telephone_number": "509-946-1430",
"fax_number": "509-946-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 STEVENS DRIVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99354",
"telephone_number": "509-946-1430",
"fax_number": "509-946-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAULT",
"first_name": "JAMIE",
"middle_name": "LORETTA",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60218360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.