Brandi Ann Wallentine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61145146 Issued in WA

Practice address

7282 Stinson Ave Ste B
Gig Harbor, WA 98335-4930

Phone

(253) 858-5846

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Locations

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.

• Alta Vista Integrated Life Services

  • Clinical Social Worker
  • Gig Harbor, WA
  • NPI 1538726252
  NPD
• Kitsap Mental Health Services

  • Community/Behavioral Health Agency
  • Bremerton, WA
  • NPI 1033268008
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1881275154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983800557",
            "telephone_number": "425-890-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 STINSON AVE STE B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354930",
            "telephone_number": "253-858-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENTINE",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61145146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Walck, ARNP
• Walgreen Co
• Bethany Walker, MSW
• Jason Walker
• Nina Walker
• Walter Scott D.C., Inc.
• Scott Ta Tze Wan, RPH
• Michelle M Warner, ARNP
• Ken J Warter, RPH
• Washington CVS Pharmacy LLC

• Mental Health Counselor in Gig Harbor, WA
• Providers in Gig Harbor, 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 Apr 19, 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.