Active NPI
Wendy Ann Freitas-Brown, MFTI
- Marriage & Family Therapist
- Silverdale, WA
National Provider Identifier
1992052732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 61341569
- Practice address
- 2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7686 - Phone
- (916) 969-4653
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105362 | CA | |
| Marriage & Family Therapist | 106H00000X | 61341569 | WA | Primary |
Addresses
Primary practice location
2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7686
Mailing address
PO Box 241
Poulsbo, WA 98370-0241
Phone (916) 969-4653
Other practice location 1
299 12th St
Suite A
Marina, CA 93933-6003
Phone (916) 969-4653
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 |
|---|---|---|---|
| 105362 | CA | MD | Marriage & Family Therapist |
| 61341569 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Street Clinic Inc | Past | Accepting new patients |
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.
-
- Psychologist
- Poulsbo, WA
- NPI 1457532913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1992052732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700241",
"telephone_number": "916-969-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 NW KITSAP PL STE 2B",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837686",
"telephone_number": "916-969-4653"
}
],
"practiceLocations": [
{
"address_1": "299 12th St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Marina",
"state": "CA",
"postal_code": "939336003",
"country_code": "US",
"telephone_number": "916-969-4653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREITAS-BROWN",
"first_name": "WENDY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105362",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "61341569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.