Individual provider Active NPI

Brandie Lourenco

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1760866115
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60617182 Issued in WA
Practice address
221 Prince Ave Unit 305
Bellingham, WA 98226-5714
Phone
(323) 539-8225
NPI assigned
Jul 15, 2015
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60617182 WA Primary

Addresses

Primary practice location

221 Prince Ave Unit 305
Bellingham, WA 98226-5714

Mailing address

1155 N State St Ste 421
Bellingham, WA 98225-5024
Phone (323) 539-8225

Other practice location 1

360 E Bakerview Rd
Bellingham, WA 98226-9189
Phone (360) 840-1161

Other practice location 2

360 E Bakerview Rd
Bellingham, WA 98226-9189
Phone (360) 840-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC60617182WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1760866115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 421",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255024",
            "telephone_number": "323-539-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PRINCE AVE UNIT 305",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265714",
            "telephone_number": "323-539-8225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E Bakerview Rd",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982269189",
            "country_code": "US",
            "telephone_number": "360-840-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Bakerview Rd",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982269189",
            "country_code": "US",
            "telephone_number": "360-840-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOURENCO",
        "first_name": "BRANDIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60617182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.