Active NPI
Brooke Terry, MS, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1073238432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C11280
- Practice address
- 5441 S Macadam Ave Ste 5395
Portland, OR 97239-3822 - Phone
- (323) 393-3714
- NPI assigned
- Oct 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C11280 | OR | Primary |
Addresses
Primary practice location
5441 S Macadam Ave Ste 5395
Portland, OR 97239-3822
Mailing address
PO Box 5530
Bossier City, LA 71171-5530
Phone (601) 383-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C11280 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mensch Therapy | Current | Accepting new patients |
Locations
5441 S Macadam Ave
Portland, OR 97239
Phone (541) 402-8932
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1457194813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1073238432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5530",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711715530",
"telephone_number": "601-383-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE 5395",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393822",
"telephone_number": "323-393-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "BROOKE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C11280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.