Active NPI
Brianne Jalayne Deyoung
- Professional Counselor
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6392
- Practice address
- 3085 River Rd N
Salem, OR 97303-6512 - Phone
- (541) 321-2278
- Fax
- (541) 246-8826
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | R5444 | OR | |
| Professional Counselor | 101YP2500X | C6392 | OR | Primary |
Addresses
Primary practice location
3085 River Rd N
Salem, OR 97303-6512
Mailing address
6672 Veranda CT N
Keizer, OR 97303-4226
Phone (503) 867-0350
Other practice location 1
222 SE 8th Ave Ste 212
Hillsboro, OR 97123-4218
Phone (503) 352-7333
Other practice location 2
112 E Burnett St
Stayton, OR 97383-1735
Phone (503) 509-5275
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5444 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Counseling Service, LLC. Dba Northlight Counseling | Professional | Current | Accepting new patients |
| Pacific University | Past | Accepting new patients |
Locations
2225 Pacific Blvd SE
Ste 101
Albany, OR 97321
Phone (541) 321-2278
1075 Washington St
Eugene, OR 97401
Phone (541) 321-2278
2440 Willamette St
Ste 201
Eugene, OR 97405
Phone (541) 234-3090
3085 River Rd N
Salem, OR 97303
Phone (541) 321-2278
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1447715834
Professional
-
- Adult Mental Health Clinic/Center
- Hillsboro, OR
- NPI 1700256989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1114373834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6672 VERANDA CT N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034226",
"telephone_number": "503-867-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 RIVER RD N",
"city": "SALEM",
"state": "OR",
"postal_code": "973036512",
"telephone_number": "541-321-2278",
"fax_number": "541-246-8826"
}
],
"practiceLocations": [
{
"address_1": "222 SE 8th Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234218",
"country_code": "US",
"telephone_number": "503-352-7333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 E Burnett St",
"address_purpose": "LOCATION",
"city": "Stayton",
"state": "OR",
"postal_code": "973831735",
"country_code": "US",
"telephone_number": "503-509-5275",
"fax_number": "503-767-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEYOUNG",
"first_name": "BRIANNE",
"middle_name": "JALAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R5444",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
- Erin Nicole Devoy, DPT
- Julie Dewey
- Jacob Middle Dewilde
- Dexterity Spa and Massage
- Brittany Janelle Deyo-Bundy, MD
- DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P
- DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P
- Di Ame, Inc.
- Diagnostic Imaging Associates Inc
- Nellie I Diaz Diaz, PWS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.