Melissa Brooks
Individual provider Active NPI Mental Health Counselor · Fairview, OR
NPI 1760143069 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1760143069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PROFESSIONALLICENSE
- Practice address
- 1945 NE 205TH Ave
Fairview, OR 97024-9622 - Phone
- (503) 661-8050
- Fax
- (503) 492-4651
- NPI assigned
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiacare Services | Past |
Accepting new patients | |
| Columbiacare Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PROFESSIONALLICENSE | Yes |
Addresses
Primary practice location
1945 NE 205TH Ave
Fairview, OR 97024-9622
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other providers in Fairview, OR
- Bean Bag Therapy
- Emily Dawn Bergerson
- Maryssa Marie Birch
- Sarah Bourgeois
- Brian G Cox LCSW PC
- Sarah Campbell
- Todd Caponetto
- Jennifer Patrice Checkis
- Columbiacare Services
- Seann Cook
All providers in Fairview, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.