KARIN E. BRACKEBUSCH LMHC NPI 1952614646

NPI Information

  • NPI: 1952614646
  • Provider Name: KARIN E. BRACKEBUSCH, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15315 1ST AVE NE
    1393
    DUVALL, WA
    ZIP 98019
  • Phone: (206) 678-7595

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NPI Details

Karin E. Brackebusch, LMHC is a mental health counselor in Duvall, WA with 16 years of experience. Karin E. Brackebusch, LMHC NPI is 1952614646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15315 1ST AVE NE
1393
DUVALL, WA
ZIP 98019-339
Phone: (206) 678-7595
Fax: (206) 792-3629

The NPI 1952614646 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 7/22/2010 and was last updated on 3/31/2016.

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
1101Y00000XCounselorMC.60168632WASHINGTONNo
2101YM0800XCounselorMental HealthMC.60168632WASHINGTONNo
3101YP1600XCounselorPastoralMC.60168632WASHINGTONNo
4101YP2500XCounselorProfessionalLH60531448WASHINGTONNo
5101YM0800XCounselorMental HealthLH60531448WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12042475MEDICAIDWASHINGTON

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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