Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brendan Cooney

Individual provider Mental Health Counselor · NPI 1104605039

Brendan Cooney is a Mental Health Counselor in Forks, Washington. Qualified in 2023, 3 years ago. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023

Practice location Address checks out

530 Bogachiel Way
Forks, WA 98331-9120
Phone: (360) 374-5011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61456318 (WA)

Record details

NPI number1104605039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address530 Bogachiel Way, Forks, WA 98331-9120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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