Individual provider Active NPI

Brooke Heather Burchard, QMHP

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1710568183
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9765 Issued in OR
Practice address
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone
(503) 531-3434
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C9765 OR
Mental Health Counselor 101YM0800X C9765 OR Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357

Mailing address

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone (503) 531-3434

Other names 1

  • Brooke Heather Brossard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9765ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC Mental Health Past Accepting new patients
Bright Horizons Psychiatric Group LLC PastSince Mar 6, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1710568183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "503-531-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "503-531-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHARD",
        "first_name": "BROOKE",
        "middle_name": "HEATHER",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BROSSARD",
            "middle_name": "HEATHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.