50 Joys Counseling, LLC

Key facts

NPI

1437873296

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

Legal business name

50 JOYS COUNSELING, LLC

Practice address

851 NE Granger Ave
Corvallis, OR 97330-9672

Phone

(541) 231-3439

Fax

(000) 000-0000

NPI assigned

Sep 26, 2022

Organization subpart

No

Authorized official

Name

Marijke L Brutsaert, MA, MSW, LCSW NPI 1801227384

Title

Owner

Phone

(541) 231-3439

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Marijke L Brutsaert, LCSW Clinical Social Worker · Corvallis, OR · NPI 1801227384
  Medicare reassignment NPD Authorized official CLINICAL · OR

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2022.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1437873296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE GRANGER AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309672",
            "telephone_number": "541-231-3439",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NE GRANGER AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309672",
            "telephone_number": "541-231-3439",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "50 JOYS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "BRUTSAERT",
        "authorized_official_first_name": "MARIJKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-231-3439",
        "authorized_official_credential": "MA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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