Individual provider Active NPI

Gary Brouwer

  • Mental Health Counselor
  • Grandview, WA
National Provider Identifier
1205364205
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
203 E 2ND St
Grandview, WA 98930-1347
Phone
(509) 402-9029
Fax
(509) 402-9021
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

203 E 2ND St
Grandview, WA 98930-1347

Mailing address

1171 Olmstead Rd
Grandview, WA 98930-9415
Phone (509) 402-9029

Other practice location 1

504 S 3rd Ave
Yakima, WA 98902-3543
Phone (509) 575-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002861 WA Practitioner - Mental Health Counselor 0547765497 Practice locations: Grandview, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1171 Olmstead Rd
Grandview, WA 98930-9415

203 E 2ND St
Grandview, WA 98930-1347
Phone (509) 402-9029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare Past 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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1205364205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 OLMSTEAD RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309415",
            "telephone_number": "509-402-9029",
            "fax_number": "509-402-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301347",
            "telephone_number": "509-402-9029",
            "fax_number": "509-402-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023543",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUWER",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.