NPIMap

Organization Active NPI

Brittany Russ' Clinical Social Work and Therapy Services LLC

Doing business as Brave Hope Counseling

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1104573070
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Doing business as
Brave Hope Counseling
Practice address
1827 NE 44TH Ave Ste 310
Portland, OR 97213-1468
Phone
(503) 320-7136
Fax
(503) 776-7719
NPI assigned
Mar 9, 2022
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Regina Nowakowski
Title
Medical Billing & Insurance Special
Phone
(817) 992-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1827 NE 44TH Ave Ste 310
Portland, OR 97213-1468

Mailing address

PO Box 873882
Vancouver, WA 98687-3882
Phone (503) 308-9563

Other names 1

  • Brave Hope Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014003743 OR Part B Supplier - Clinic/Group Practice 7618474032 Receives reassigned benefits from 9 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Tax ID family
Brittany Russ Clinical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1104573070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873882",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986873882",
            "telephone_number": "503-308-9563",
            "fax_number": "503-776-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131468",
            "telephone_number": "503-320-7136",
            "fax_number": "503-776-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MEDICAL BILLING & INSURANCE SPECIAL",
        "authorized_official_telephone_number": "817-992-3617"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brave Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brave Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.