Individual provider Active NPI

Brooke Cicierski, INTERN

  • Mental Health Counselor
  • La Grande, OR
National Provider Identifier
1164388229
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
105 Fir St Ste 327
La Grande, OR 97850-2663
Phone
(541) 246-3638
Fax
(541) 237-3777
NPI assigned
Jan 1, 2026
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OR Primary

Addresses

Primary practice location

105 Fir St Ste 327
La Grande, OR 97850-2663

Mailing address

214 Fir St Apt 3
La Grande, OR 97850-2652
Phone (541) 246-3638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Candace Walters and Associates CurrentSince Jan 4, 2026 Accepting new patients

Locations

105 Fir St
Ste 327
La Grande, OR 97850
Phone (541) 246-3638

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1767225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1164388229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FIR ST APT 3",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502652",
            "telephone_number": "541-246-3638",
            "fax_number": "541-237-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 327",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502663",
            "telephone_number": "541-246-3638",
            "fax_number": "541-237-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICIERSKI",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.