Active NPI
Brandi Michelle Allred
- Mental Health Counselor
- Shoreline, WA
National Provider Identifier
1154767192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60334296
- Practice address
- 15803 9TH Ave NE
Shoreline, WA 98155-6244 - Phone
- (206) 883-8671
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | CG60334296 | WA | Primary |
Addresses
Primary practice location
15803 9TH Ave NE
Shoreline, WA 98155-6244
Mailing address
12430 83Rd Ave S
Seattle, WA 98178-4918
Phone (206) 883-8671
Other names 1
- Ms. Brandi Michelle Gill
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 |
|---|---|---|---|
| CG60334296 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Organization for Research and Learning, Inc | Past | Accepting new patients | |
| Organization for Research and Learning | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Seattle, WA
- NPI 1730519760
-
- Behavior Analyst
- Seattle, WA
- NPI 1265710933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1154767192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12430 83RD AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981784918",
"telephone_number": "206-883-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15803 9TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981556244",
"telephone_number": "206-883-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "BRANDI",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60334296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "GILL",
"middle_name": "MICHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.