Jillian Brown, LPC ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R8086 Issued in OR

Practice address

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

Phone

(503) 523-9569

NPI assigned

Feb 14, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Mesmerized Gallery and Healing Space

  • Mental Health Counselor
  • White Salmon, WA
  • NPI 1215635396
  NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1306543947",
    "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": {
        "last_name": "BROWN",
        "first_name": "JILLIAN",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R8086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergstrom Family Eyecare P S
• Jillian Doran Bingham, BSN, RN
• Ticia Ann Blanck, PSY.D.
• Margot R Bolstad, DO
• Shelby Taylor Bowerly, DNP, APRN, FNP-C
• Nakia Bryan
• Jenny S Bunce, LCSW, MSW
• Burdoin Mountain Maternity Care, PLLC
• Camille Bush, CD(DONA)
• Eric Carpenter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.