Jamie Brunsch, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW.61499580 Issued in WA

Practice address

9105 NE Highway 99
Vancouver, WA 98665-8961

Phone

(360) 576-1350

NPI assigned

May 25, 2021

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Nolta Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Vancouver Clinic Inc PS

  dba The Vancouver Clinic

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1992759427
  Medicare reassignment Care Compare group NPD
• The Vancouver Clinic Inc PS

  dba Salmon Creek 2 Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1306556907
  NPD
• The Vancouver Clinic Inc PS

  • Eyewear Supplier
  • Ridgefield, WA
  • NPI 1760004477
  NPD
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phillips Ranch, CA
  • NPI 1013469881

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • La Verne, CA
  • NPI 1285186981

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1306398185

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Valinda, CA
  • NPI 1467904235
  NPD (past)
• Pacific Northwest Renal Services, L.L.C.

  dba Fresenius Medical Care Sandy Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sandy, OR
  • NPI 1962242552
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1124693841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HIDDEN VALLEY DR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021452",
            "telephone_number": "360-901-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658961",
            "telephone_number": "360-576-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Country Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Phillips Ranch",
            "state": "CA",
            "postal_code": "917664818",
            "country_code": "US",
            "telephone_number": "909-623-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "909-392-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16226 Benwick St",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441301",
            "country_code": "US",
            "telephone_number": "626-917-0857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 E Eckerman Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911113",
            "country_code": "US",
            "telephone_number": "626-332-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 E Whitebirch Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917913039",
            "country_code": "US",
            "telephone_number": "626-430-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13118 NE 4th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845640",
            "country_code": "US",
            "telephone_number": "360-254-7076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSCH",
        "first_name": "JAMIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102486",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW.61499580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "NOLTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Brun-Cottan, DPT
• Rebecca Brunk, MSN, APRN, PMHNP-BC
• Michael Brunner
• Nicole Yvonne Bruno, RN, BSN
• James Arthur Bruns, HEARING AID SPECIALI
• Hillary Bruton
• Erica Bruyako, LMP
• Connie Marie Bryan
• Crystal Bryan
• Robert R Bryan

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.