Bridgette Graham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61417733 Issued in WA

Practice address

12120 NE 163Rd St
Bothell, WA 98011-4146

Phone

(425) 264-4247

NPI assigned

Sep 17, 2020

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

State licenses

Practice roles

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.

• Cerebro Therapy Group

  • Mental Health Counselor
  • Bothell, WA
  • NPI 1922811132
  NPD Authorized official
• Local Beacon Counseling LLC

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1912595836
  NPD (past)
• Youth Eastside Services

  • Community/Behavioral Health Agency
  • Bellevue, WA
  • NPI 1356496335
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1730795535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 NE 163RD ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114146",
            "telephone_number": "425-264-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 NE 163RD ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114146",
            "telephone_number": "425-264-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61417733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Gordon, DPT
• Ronit Gourarie, RN
• Wenona Grados
• Donald Graff, PTA
• Katherine Graff, RN
• Georgia Faye Grammer, MA, M.ED., LMFT
• Eddrii Judea Grant
• Pasha Grant, LICSW
• Brooklyn Gratzer, OTR/L
• Marlene J Graves, FNP-C

• Mental Health Counselor in Bothell, WA
• Providers in Bothell, 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 Jan 30, 2025; 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.