Individual provider Active NPI

Dustin Brenske

  • Mental Health Counselor
  • Sequim, WA
National Provider Identifier
1831520550
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60424379 Issued in WA
Practice address
91 Patriot Way
Unit 2
Sequim, WA 98382-8452
Phone
(360) 460-5947
NPI assigned
Dec 5, 2013
Last updated
Apr 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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 LH 60424379 WA Primary

Addresses

Primary practice location

91 Patriot Way
Unit 2
Sequim, WA 98382-8452

Mailing address

91 Patriot Way
Unit 2
Sequim, WA 98382-8452
Phone (360) 460-5947

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60424379WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1831520550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PATRIOT WAY",
            "address_2": "UNIT 2",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828452",
            "telephone_number": "360-460-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PATRIOT WAY",
            "address_2": "UNIT 2",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828452",
            "telephone_number": "360-460-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENSKE",
        "first_name": "DUSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60424379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.