Individual provider Active NPI

Wendy Ann Freitas-Brown, MFTI

  • Marriage & Family Therapist
  • Silverdale, WA
National Provider Identifier
1992052732
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
61341569 Issued in WA
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

Updated by the provider on Jun 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
105362CAMDMarriage & Family Therapist
61341569WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.