OrganizationActive
Renegade Healing Co., LLC
NPI 1780540864 · Mental Health Counselor · Otis Orchards, WA
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
Established profile(53/100 index)
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
5711 N Vista Grande Dr
Otis Orchards, WA 99027-9103
Phone: (253) 617-8857
Street-level locationGet directions
Mailing address
5711 N Vista Grande Dr
Otis Orchards, WA 99027-9103
Registry dates
- Enumerated
- 2026-01-01
- Last updated
- 2026-01-01
- Certified
- 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.