Individual provider Active NPI

Bryce Downey Brooks, LCSW

  • Counselor
  • Ashland, OR
National Provider Identifier
1063795722
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
149 Clear Creek Dr.
Suite 103
Ashland, OR 97520-1882
Phone
(541) 621-0303
Fax
(541) 482-8481
NPI assigned
Sep 20, 2011
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

149 Clear Creek Dr.
Suite 103
Ashland, OR 97520-1882

Mailing address

PO Box 1251
Ashland, OR 97520-0042
Phone (541) 621-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807000733 OR Practitioner - Clinical Social Worker 0345467882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland DBT Institute IncGroup PAC ID 7911141742, 28 clinicians

Practice addresses (Care Compare)

5200 S Macadam Ave
Suite 580
Portland, OR 97239-3837
Phone (503) 231-7854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portland DBT Institute, Inc. CurrentSince Jun 17, 2023 Accepting new patients

Locations

7 Crater Lake Ave
Ste 7A
Medford, OR 97504

5100 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 231-7854

5200 S Macadam Ave
Ste 580
Portland, OR 97239
Phone (503) 231-7854

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1063795722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200042",
            "telephone_number": "541-621-0303",
            "fax_number": "541-482-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR.",
            "address_2": "SUITE 103",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201882",
            "telephone_number": "541-621-0303",
            "fax_number": "541-482-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRYCE",
        "middle_name": "DOWNEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.