Jacqueline Brandow, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010630 Issued in WA

Practice address

6754 Willet Way
Klamath Falls, OR 97601-9237

Phone

(509) 531-2622

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1821809740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 WILLET WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019237",
            "telephone_number": "509-531-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 WILLET WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019237",
            "telephone_number": "509-531-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOW",
        "first_name": "JACQUELINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezra Trinity Lee Boyette
• Paislee Renee Boyle
• Mark F Bradbury, M.D.
• Braden Partners LP (Pacific Pulmonary Services)
• Mindi Brady
• Bretton Howard Breazeale, MD
• Leonard Andrew Brennan, LPC, LCAS
• Thalia Davies Brennan, LPC
• Gary Albert Brew
• Michael Bricker, MS, BS, CADC II

• Mental Health Counselor in Klamath Falls, OR
• Providers in Klamath Falls, 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 Jan 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.