Active NPI
Angela Brown, LMHCA
- Mental Health Counselor
- Snohomish, WA
National Provider Identifier
1104625334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60795290
- Practice address
- 2110 Northlake Ave
Snohomish, WA 98290-1355 - Phone
- (425) 276-1578
- NPI assigned
- Mar 11, 2025
- 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 | MC60795290 | WA | Primary |
Addresses
Primary practice location
2110 Northlake Ave
Snohomish, WA 98290-1355
Mailing address
13607 118TH Ave NE
Kirkland, WA 98034-2147
Other names 1
- Ms. Angela Vladimirovna Bratulina
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60795290 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Ground Counseling | Mental Health | Current | 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": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1104625334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13607 118TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 NORTHLAKE AVE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901355",
"telephone_number": "425-276-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60795290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BRATULINA",
"middle_name": "VLADIMIROVNA",
"prefix": "MS.",
"credential": "LMHCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.