Individual provider Active NPI

Srae Anita Christensen

  • Mental Health Counselor
  • Newman Lake, WA
National Provider Identifier
1811601875
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61092955 Issued in WA
Practice address
9122 N Murray Rd
Newman Lake, WA 99025-9454
Phone
(509) 999-9039
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 MC61092955 WA Primary

Addresses

Primary practice location

9122 N Murray Rd
Newman Lake, WA 99025-9454

Mailing address

9122 N Murray Rd
Newman Lake, WA 99025-9454
Phone (509) 999-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC61092955WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Counseling Services Mental Health CurrentSince Aug 22, 2024 Accepting new patients

Locations

9921 N Nevada St
Ste 103
Spokane, WA 99218
Phone (509) 581-2690

200 N Mullan Rd
Ste 120
Spokane Valley, WA 99206
Phone (509) 519-6850

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1811601875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 N MURRAY RD",
            "city": "NEWMAN LAKE",
            "state": "WA",
            "postal_code": "990259454",
            "telephone_number": "509-999-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 N MURRAY RD",
            "city": "NEWMAN LAKE",
            "state": "WA",
            "postal_code": "990259454",
            "telephone_number": "509-999-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "SRAE",
        "middle_name": "ANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61092955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newman Lake, WA

Sources for this page

Verify at the official NPI Registry.