Bronwyn Rose Hassall-Santaella

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1235 SE Division St Ste 104
Portland, OR 97202-1055

Phone

(360) 726-4141

NPI assigned

Sep 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Beyond Eating Recovery, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1831077064
  NPD
• Body Expressions, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1508347741
  NPD

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1124854583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SE HAWTHORNE BLVD APT 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144180",
            "telephone_number": "707-672-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021055",
            "telephone_number": "360-726-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSALL-SANTAELLA",
        "first_name": "BRONWYN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Kelly Haskell, RD, LD
• Morgan Michelle Haskett
• Kelsee Rae Haskin
• Kristen Haslebacher
• John Alexander Haslett
• Caleb Hassan
• Faysal Ibrahim Hassan
• Hanaan Ismail Hassan, RN
• Mahad Hassan
• Raina Catherine Hassan

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.