Brenton Brooks Page Jr., LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61056790 Issued in WA

Practice address

819 N 49TH St Ste 303
Seattle, WA 98103-6577

Phone

(206) 588-6585

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brooks Page Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1710587969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 60TH AVE SW APT 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981165801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 49TH ST STE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036577",
            "telephone_number": "206-588-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BRENTON",
        "middle_name": "BROOKS",
        "name_suffix": "Jr.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61056790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKS",
            "last_name": "PAGE",
            "credential": "LMHCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Pagano, M.S.W.
• Monica Beatriz Pagano, MD
• Andrea Page
• Andrew David Page, LMHCA
• Bonnie Page, M.D.
• Christopher Robin Page, O.T.R.
• Debra Jean Page, PHARMD
• Sharyl Renee Page
• Stephanie T Page, M.D. PHD
• John Michael Pagel, MD PHD

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.