Individual provider Active NPI

Brooke Ann McNutt Enriquez, LMHC

  • Professional Counselor
  • Vancouver, WA
National Provider Identifier
1164058145
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MHC.LH.70004353 Issued in WA
Practice address
3415 NE 88TH St
Vancouver, WA 98665-0175
Phone
(360) 839-7812
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MHC.LH.70004353 WA Primary

Addresses

Primary practice location

3415 NE 88TH St
Vancouver, WA 98665-0175

Mailing address

3415 NE 88TH St
Vancouver, WA 98665-0175
Phone (360) 839-7812

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

LicenseStateTypeSpecialty
MHC.LH.70004353WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Life Counseling PLLC CurrentSince Apr 25, 2022 Accepting new patients
Real Life Community Behavioral Health PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

3606 Main St
Ste 202
Vancouver, WA 98663
Phone (360) 695-7699

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.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1164058145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 NE 88TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650175",
            "telephone_number": "360-839-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 NE 88TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650175",
            "telephone_number": "360-839-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "BROOKE",
        "middle_name": "ANN MCNUTT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MHC.LH.70004353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.