Brooke Vaille

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10580 SW McDonald St Ste 202
Tigard, OR 97224-4800

Phone

(971) 242-4155

NPI assigned

Feb 21, 2023

Last updated

Mar 5, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Well Counseling Center, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1013763770
  NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1538867247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 SW MCDONALD ST STE 202",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 SW MCDONALD ST STE 202",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244800",
            "telephone_number": "971-242-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Urioste
• Chidozie Kenneth Urom
• Maximilian Wolfgang Usman
• Saman Vadaei
• Dante H Vaidya
• Dmitriy Viktorovich Vakulchik, PA
• Adela Rose Valdes
• Morgan Barnabas Valentine
• Summer Joy Valentine
• Iris Valet, MSW

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.