Active NPI
Brittney Darr
- Counselor
- Longview, WA
National Provider Identifier
1629590005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 60800704
- Practice address
- 1616 10TH Avenue
Longview, WA 98632 - Phone
- (360) 423-0203
- Fax
- (360) 577-0269
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 60800704 | WA | Primary |
Addresses
Primary practice location
1616 10TH Avenue
Longview, WA 98632
Mailing address
921 14TH Avenue
Longview, WA 98632
Phone (360) 423-0203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2097681 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60800704 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Counselor | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Counselor | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 3
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Counselor, WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- General Practice Physician
- Portland, OR
- NPI 1982959565
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1629590005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 14TH AVENUE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-423-0203",
"fax_number": "360-577-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 10TH AVENUE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-423-0203",
"fax_number": "360-577-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARR",
"first_name": "BRITTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "60800704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2097681",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.