Jennifer Brooke Sjostrom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00007832 Issued in WA

Legal business name

JENNIFER BROOKE SJOSTROM

Practice address

4407 N Division St Ste 603
Spokane, WA 99207-1660

Phone

(208) 467-4931

NPI assigned

May 3, 2016

Last updated

May 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Brooke Sjostrom, MS

Title

Psychotherapist

Phone

(208) 691-1174

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Earin Sjostrom, MS

  • Mental Health Counselor
  • Coeur d'Alene, ID
  • NPI 1255807210
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1730534272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190129",
            "telephone_number": "208-691-1174",
            "fax_number": "208-247-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 603",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071660",
            "telephone_number": "208-467-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BROOKE SJOSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "SJOSTROM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "208-691-1174",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4347",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill L Jenkins, M.D.
• Marissa Jade Jenks-Barajas
• Stephanie Jo Jenks, ASN, RN
• Jazmyne Lei Jenness Kinchen III
• Jennifer Banks, Arnp, PLLC (Familiar Primary Care)
• Jennifer Van Wey PSYD PLLC (Jennifer Van Wey PsyD)
• Erinn Diann Jennings
• Genesis Jennings
• Margarita Jennings
• Jenny Hayse Therapy PLLC

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.