Individual provider Active NPI

Matthew Forrest Brasfield, BS, SUDPT, AAC, CPC

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, WA
National Provider Identifier
1609689470
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61632437 Issued in WA
Practice address
1905 Continental Place
Mount Vernon, WA 98273-5633
Phone
(360) 755-6400
NPI assigned
Jan 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61632437 WA Primary

Addresses

Primary practice location

1905 Continental Place
Mount Vernon, WA 98273-5633

Mailing address

1702 Grant St
Bellingham, WA 98225-4808
Phone (360) 685-6198

Other practice location 1

316 E McLeod Rd Ste 102B
Bellingham, WA 98226-6491
Phone (360) 389-8856

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
CO61632437WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Recovery Centers PastSince Apr 13, 2025 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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1609689470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 GRANT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254808",
            "telephone_number": "360-685-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CONTINENTAL PLACE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735633",
            "telephone_number": "360-755-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 E McLeod Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266491",
            "country_code": "US",
            "telephone_number": "360-389-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "MATTHEW",
        "middle_name": "FORREST",
        "credential": "BS, SUDPT, AAC, CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61632437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.