Individual provider Active NPI

Bradley James David Page

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1659098788
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61462245 Issued in WA
Practice address
9633 Levin Rd NW Ste 100
Silverdale, WA 98383-8132
Phone
(360) 698-5883
NPI assigned
Oct 19, 2022
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 MC61462245 WA Primary

Addresses

Primary practice location

9633 Levin Rd NW Ste 100
Silverdale, WA 98383-8132

Mailing address

9633 Levin Rd NW Ste 100
Silverdale, WA 98383-8132
Phone (360) 698-5883

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mcscounseling.com

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

State licenses

LicenseStateTypeSpecialty
MC61462245WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle McKenzie DC Inc PastSince Oct 23, 2022 Accepting new patients
MCS Counseling Group LLC Mental Health PastSince Oct 23, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1659098788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 LEVIN RD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838132",
            "telephone_number": "360-698-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 LEVIN RD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838132",
            "telephone_number": "360-698-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BRADLEY",
        "middle_name": "JAMES DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61462245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mcscounseling.com",
            "affiliation": "N",
            "address_1": "9633 Levin Rd NW Ste 100",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.