BRENDAN COONEY NPI 1104605039

NPI Information

  • NPI: 1104605039
  • Provider Name: BRENDAN COONEY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 BOGACHIEL WAY
    FORKS, WA
    ZIP 98331
  • Phone: (360) 374-5011

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NPI Details

Brendan Cooney is a mental health counselor in Forks, WA with 3 years of experience. Brendan Cooney NPI is 1104605039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 BOGACHIEL WAY
FORKS, WA
ZIP 98331-120
Phone: (360) 374-5011

The NPI 1104605039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/28/2023 and was last updated on 9/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMC61456318WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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