Individual provider Active NPI

Vanessa D Brookhouse, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1902373541
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5407 Issued in OR
Practice address
2104 SE Morrison St
Portland, OR 97214-2825
Phone
(503) 908-4451
Fax
(503) 266-4793
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5407 OR Primary

Addresses

Primary practice location

2104 SE Morrison St
Portland, OR 97214-2825

Mailing address

22518 S Parrot Creek Rd
Oregon City, OR 97045-9725
Phone (503) 266-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C5407ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parrott Creek Child & Family Services Past Accepting new patients
The DBT Clinic, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1902373541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22518 S PARROT CREEK RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459725",
            "telephone_number": "503-266-3050",
            "fax_number": "503-266-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142825",
            "telephone_number": "503-908-4451",
            "fax_number": "503-266-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKHOUSE",
        "first_name": "VANESSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.