Individual provider Active NPI

Brittany Alyson Henness, CP61021166, LH608799

  • Professional Counselor
  • Sedro Woolley, WA
National Provider Identifier
1265979991
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60611968 Issued in WA
Practice address
916 Marie PL
Sedro Woolley, WA 98284-9322
Phone
(818) 307-3574
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 60611968 WA Primary

Addresses

Primary practice location

916 Marie PL
Sedro Woolley, WA 98284-9322

Mailing address

916 Marie PL
Sedro Woolley, WA 98284-9322

Other names 1

  • Ms. Brittany Alyson Boulton Former name

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
I20250402001393 WA Practitioner - Mental Health Counselor 9133514771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60611968WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nvelup Telehealth PLLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25305/brand/1/csg/1/fhir/r4

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1265979991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MARIE PL",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MARIE PL",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849322",
            "telephone_number": "818-307-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESS",
        "first_name": "BRITTANY",
        "middle_name": "ALYSON",
        "name_prefix": "Mrs.",
        "credential": "CP61021166, LH608799",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2025-09-11",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "60611968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BOULTON",
            "middle_name": "ALYSON",
            "prefix": "MS.",
            "credential": "CP61021166, LH608799",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.