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Renegade Healing Co., LLC

Mental Health Counselor in Otis Orchards, WA · enumerated 2026 · authorized official Bradley Kubat, Owner/Clinician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780540864

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Registry record

Entity type Organization (Type 2)
Legal business name Renegade Healing Co., LLC
Practice address 5711 N Vista Grande Dr, Otis Orchards, WA, 99027
Enumeration date Jan 1, 2026
Last updated in NPPES Jan 1, 2026

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Bradley Kubat
Title Owner/Clinician

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Renegade Healing Co., LLC?
The NPI for Renegade Healing Co., LLC is 1780540864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Renegade Healing Co., LLC?
NPPES lists Bradley Kubat (Owner/Clinician) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-01.