Brian M Allred, LMHC
Individual provider Active NPI Mental Health Counselor · Vancouver, WA
NPI 1720458656 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1720458656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60611538 (WA)
- Practice address
- 13505 NE 10TH Ave
Vancouver, WA 98685-2711 - Phone
- (360) 904-5580
- NPI assigned
- Oct 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1003 Alabaster CV
Sanford, FL 32771-3607
502 NW 83Rd St
Vancouver, WA 98665-7852
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926000169 | WA | Practitioner - Mental Health Counselor | 1052816477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refresh Therapy, Inc | Current |
Accepting new patients | |
| Refresh Therapy, Inc | Mental Health | Past | Accepting new patients |
Locations
13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60611538 | WA | Yes |
Addresses
Primary practice location
13505 NE 10TH Ave
Vancouver, WA 98685-2711
Mailing address
11518 NW 7TH Ave
Vancouver, WA 98685-3830
Phone (360) 904-5580
Other providers in Vancouver, WA
- Allergy & Asthma Centers of the NW
- Alliance Acu LLC
- Rebecca Lynn Alling
- Tamara Lee Allison
- Thomas Craig Allmon
- Jennifer Allred
- Tamera Smith Allred
- Ally Christian Counseling LLC
- Daniela Almajan
- Breanna Nicole Almanzo
All providers in Vancouver, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.