Bernice Freed Bravo, MA – Mental Health Counselor

Key facts

NPI: 1316644347
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: MC61620434 (WA)
Practice address: 390 NW Gropper Rd
Stevenson, WA 98648-6254
Phone: (509) 427-5631
NPI assigned: Feb 9, 2023
Sex: Female
Sole proprietor: Yes

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.

Educational Service District 112 Mental Health Clinic/Center (Including Community Mental Health Center) · Vancouver, WA · NPI 1790008928

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
MC61620434	WA	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Educational Service District 112		Past since Feb 12, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YM0800X
Mental Health Counselor	101YM0800X	MC61620434	WA	Yes

Addresses

Primary practice location

390 NW Gropper Rd
Stevenson, WA 98648-6254

Mailing address

PO Box 531
Stevenson, WA 98648-0531
Phone (971) 533-3814

Other practice location 1

441 Hot Springs Ave
Carson, WA 98610-3316
Phone (509) 427-4645

Other providers in Stevenson, WA

All providers in Stevenson, WA · Mental Health Counselor in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.