Brainbow Forge

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAINBOW FORGE

Practice address

137 Hall Ave
Coos Bay, OR 97420-1519

Phone

(541) 229-7879

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Mariena Joy, LCSW, L10767, CLSSNPI 1912363441

Title

Therapist

Phone

(541) 229-7879

Specialties & licenses 2

Addresses

Practitioners 1

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

• Mariena Star Joy, LCSW

  • Clinical Social Worker
  • Coos Bay, OR
  • NPI 1912363441
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1659119030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 W 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023109",
            "telephone_number": "541-229-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HALL AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201519",
            "telephone_number": "541-229-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINBOW FORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "MARIENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "541-229-7879",
        "authorized_official_credential": "LCSW, L10767, CLSS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Boyle, RPH
• Braden Partners LP (Pacific Pulmonary Services)
• Michelle Bradley
• Sarah Brady, CCMA, CCHW
• Shawna Bragg, LMT
• Sara Lynn Brakebush, NP
• Priscilia Bravo Gomez
• Jennifer Marie Bray, LPC
• Tammy Bray
• John Breuer, PT

• Clinical Social Worker in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.