Renegade Healing Co., LLC
NPI 1780540864 · Mental Health Counselor · Otis Orchards, WA
Renegade Healing Co., LLC is a Mental Health Counselor organization in Otis Orchards, WA (NPI 1780540864).
Provider details
- NPI number
- 1780540864
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bradley Kubat, Owner/Clinician(253) 617-8857
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-01
- Last updated
- 2026-01-01
- Certified
- 2026-01-01
Frequently asked questions
- What is Renegade Healing Co., LLC's NPI number?
- Renegade Healing Co., LLC's National Provider Identifier (NPI) is 1780540864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renegade Healing Co., LLC?
- Renegade Healing Co., LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Renegade Healing Co., LLC located?
- Renegade Healing Co., LLC's practice location on file with NPPES is 5711 N Vista Grande Dr, Otis Orchards, WA 99027-9103.
- What is Renegade Healing Co., LLC's phone number?
- The practice phone number listed in the NPPES registry for Renegade Healing Co., LLC is (253) 617-8857.
- Who is the authorized official for Renegade Healing Co., LLC?
- The authorized official listed on Renegade Healing Co., LLC's NPPES record is Bradley Kubat, Owner/Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renegade Healing Co., LLC's NPI active?
- Yes — Renegade Healing Co., LLC's NPI (1780540864) is active in the NPPES registry as of the last update on 2026-01-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.