Provider Demographics
NPI:1275838393
Name:STOGSDILL, BRANDON E (MA, MHP, LMHC, CDP)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:E
Last Name:STOGSDILL
Suffix:
Gender:M
Credentials:MA, MHP, LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 HARBOR AVE SW STE 1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-4600
Mailing Address - Country:US
Mailing Address - Phone:206-619-7829
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:1400 112TH AVE. SE, SUITE 100
Practice Address - Street 2:SOUND MENTAL HEALTH, 3RD FL
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2441
Practice Address - Country:US
Practice Address - Phone:253-970-0779
Practice Address - Fax:206-444-7810
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60270904101Y00000X, 101YM0800X
WACP60327801101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2071806Medicaid