Haley Brotzman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

9370 SW Greenburg Rd
Suite 202
Tigard, OR 97223

Phone

(971) 220-8270

NPI assigned

Jan 18, 2021

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

Other names 1

• Haley Kujawa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Heartafire LLC

  • Mental Health Counselor
  • Tigard, OR
  • NPI 1598421315
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1316536949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "address_2": "SUITE 202",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "971-220-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "address_2": "SUITE 202",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "971-220-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTZMAN",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "KUJAWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Joleen Briscoe
• Emilee Brnusak
• John Brochis, QMHA
• Melinda Brooks, PSYD
• Shaney Broome
• Necole Broughton, MHT/TCA
• Christine Broussard, MA, CADC-I
• Bradley Brown, PT
• Breanne D Brown, DO
• Cheyann Brown

• Professional Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.