Individual provider Active NPI

Khava Nicole Dobrenski, LMHC

  • Mental Health Counselor
  • Federal Way, WA
National Provider Identifier
1235586769
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.61016901 Issued in WA
Practice address
1336 S 336TH St
Federal Way, WA 98003-6348
Phone
(253) 833-7444
Fax
(253) 661-8631
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 MHC.LH.61016901 WA Primary

Addresses

Primary practice location

1336 S 336TH St
Federal Way, WA 98003-6348

Mailing address

325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444

Other identifiers 1

IdentifierTypeStateIssuer
2118898MedicaidWA

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
I20240219003834 WA Practitioner - Mental Health Counselor 9335583228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

221 Wells S
Renton, WA 98057-2161
Phone (253) 833-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61016901WAMDCounselor
MC 60677347WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation CurrentSince Jan 2, 2024 Accepting new patients
Sound PastSince Sep 5, 2020 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

1336 S 336th St
Federal Way, WA 98003
Phone (206) 887-3753

325 W Gowe St
Kent, WA 98032

221 Wells Ave S
Renton, WA 98057
Phone (206) 794-8109

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1235586769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444",
            "fax_number": "253-661-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036348",
            "telephone_number": "253-833-7444",
            "fax_number": "253-661-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRENSKI",
        "first_name": "KHAVA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.61016901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.