Mesmerized Gallery and Healing Space

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MESMERIZED GALLERY AND HEALING SPACE

Practice address

363 E Jewett Blvd # 1
White Salmon, WA 98672-3001

Phone

(503) 523-9569

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Jillian Marie Brown, LPC ASSOCIATENPI 1306543947

Title

Owner

Phone

(503) 523-9569

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jillian Brown, LPC ASSOCIATE

  • Counselor
  • White Salmon, WA
  • NPI 1306543947
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1215635396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 12TH ST # 262",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319531",
            "telephone_number": "503-523-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 E JEWETT BLVD # 1",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986723001",
            "telephone_number": "503-523-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESMERIZED GALLERY AND HEALING SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-523-9569",
        "authorized_official_credential": "LPC ASSOCIATE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McBride, OTD, OTR/L
• Sara Elizabeth McBride, PA-C
• Heather Kaufman McClure, MOT, OTR/L
• Lindsay McHugh, FNP-C
• Chandra Kay Mershon, RN
• Mid-Columbia Family Physicians,P.S.
• Mid-Columbia Family Physicians,P.S.
• Tim Middaugh, D.M.D
• Athena Gabriella Miller, RN
• Greta Mills

• Mental Health Counselor in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.