Organization Active NPI

Jade Branch Counseling PLLC

  • Mental Health Counselor
  • Gresham, OR
National Provider Identifier
1134923600
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JADE BRANCH COUNSELING PLLC
Practice address
2247 SE Kelly Ave Ste 330
Gresham, OR 97080-5386
Phone
(206) 710-7351
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Elizabeth Handley, LICSWNPI 1689280554
Title
Owner/Operator
Phone
(206) 710-7351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2247 SE Kelly Ave Ste 330
Gresham, OR 97080-5386

Mailing address

600 1St Ave Ste 330
Seattle, WA 98104-2246
Phone (206) 710-7351

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1134923600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE STE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042246",
            "telephone_number": "206-710-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 SE KELLY AVE STE 330",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805386",
            "telephone_number": "206-710-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE BRANCH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "HANDLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "206-710-7351",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.