Active NPI
Brenda G Greenfield
- Mental Health Counselor
- Chehalis, WA
National Provider Identifier
1912055617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00039403
- Practice address
- 135 W Main St
Chehalis, WA 98532-4817 - Phone
- (360) 748-6696
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00039403 | WA | Primary |
Addresses
Primary practice location
135 W Main St
Chehalis, WA 98532-4817
Mailing address
2914 Sandra Ave
Centralia, WA 98531-9326
Phone (360) 330-9141
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00039403 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912055617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 SANDRA AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319326",
"telephone_number": "360-330-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W MAIN ST",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985324817",
"telephone_number": "360-748-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "BRENDA",
"middle_name": "G",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00039403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
- Michelle Christine Grace, CNA
- Jessica Marie Grandorff, LMT
- Great Rivers Behavioral Health Organization (Great Rivers Behavior Health Agency)
- Green Hill School (Department of Children, Youth, & Families)
- Luke Greene, PMHNP
- Makayla Greenwood
- Malinda Greenwood
- Gary L Griess, LPN
- Elleta Norene Griffis, LPN
- Morrain Rose Hack, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.