Individual provider Active NPI

Brooke Lundquist, PH.D.

  • Mental Health Counselor
  • Redmond, WA
National Provider Identifier
1659836278
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60419570 Issued in WA
Practice address
16705 NE 79TH St
Redmond, WA 98052-4425
Phone
(425) 822-3252
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 MC60419570 WA Primary

Addresses

Primary practice location

16705 NE 79TH St
Redmond, WA 98052-4425

Mailing address

11014 33Rd St SE
Lake Stevens, WA 98258-5171
Phone (425) 327-2859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MC60419570WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Responder Counseling and Consulting, PLLC Mental Health CurrentSince Sep 15, 2024 Accepting new patients

Locations

207 Avenue D
Ste 100
Snohomish, WA 98290
Phone (206) 380-6142

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, 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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1659836278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 33RD ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585171",
            "telephone_number": "425-327-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 NE 79TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524425",
            "telephone_number": "425-822-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "BROOKE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60419570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.