Active NPI
Brooke Jefferson, MA
- Mental Health Counselor
- White Salmon, WA
National Provider Identifier
1174410831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R11344
- Practice address
- 432 NE Tohomish St
White Salmon, WA 98672-1940 - Phone
- (509) 866-6846
- NPI assigned
- Jun 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHCA.MC.70010470 | WA | |
| Mental Health Counselor | 101YM0800X | R11344 | OR | Primary |
Addresses
Primary practice location
432 NE Tohomish St
White Salmon, WA 98672-1940
Mailing address
PO Box 1442
White Salmon, WA 98672-1442
Phone (509) 866-6846
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11344 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1174410831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1442",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986721442",
"telephone_number": "509-866-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 NE TOHOMISH ST",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986721940",
"telephone_number": "509-866-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "BROOKE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHCA.MC.70010470",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R11344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.