Brenda Marie Corkum, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00008132 Issued in WA

Practice address

1822 Black Lake Blvd SW
Suite 102-D
Olympia, WA 98512-5628

Phone

(360) 866-2919

Fax

(360) 943-5382

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1720242969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 BLACK LAKE BLVD SW",
            "address_2": "SUITE 102-D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125628",
            "telephone_number": "360-866-2919",
            "fax_number": "360-943-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 BLACK LAKE BLVD SW",
            "address_2": "SUITE 102-D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125628",
            "telephone_number": "360-866-2919",
            "fax_number": "360-943-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKUM",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Corbitt, CRNA
• Fanny Cordero, INTERPRETER
• Karen Woodbury Cordero, N.D.
• Janessa Core
• Patrick Corkrey, PHARM.D.
• Jared B Cornelison, PA-C
• Mikayla Cornett, LMT
• Pamela Cornwall, LMHC
• Andrea Corona, PHARMD
• Jessica Coronado

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 Jul 16, 2008; 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.