JESSIE EDWARD BRAZZLE JR. CADC 1
NPI 1093851412
Case Manager/Care Coordinator in Portland, OR

Active since January 30, 2007
2415 SE 43RD AVE, SUITE 2, PORTLAND, OR 97206(503) 230-9654 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessie Edward Brazzle Jr. Cadc 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE EDWARD BRAZZLE JR. CADC 1 (NPI 1093851412) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093851412
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJESSIE EDWARD BRAZZLE JR.Credential: CADC 1
Location Address2415 SE 43RD AVE, SUITE 2Portland, OR 97206-1600
Mailing Address2415 Se 43rd Ave, Suite 2Portland, OR 97206-1600 · (503) 230-9654
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1093851412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CADC 1 (OR)
2415 SE 43RD AVE, Portland, OR 97206

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2415 SE 43RD AVE
PORTLAND, OR 97206
Case Manager/Care Coordinator
2415 SE 43RD AVE
PORTLAND, OR 97206
Registered Nurse (Psychiatric/Mental Health)
2415 SE 43RD AVE
PORTLAND, OR 97206
Counselor (Mental Health)
2415 SE 43RD AVE
PORTLAND, OR 97206
Registered Nurse (Psychiatric/Mental Health)
2415 SE 43RD AVE, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
2415 SE 43RD AVE
PORTLAND, OR 97206
Counselor (Addiction (Substance Use Disorder))
2415 SE 43RD AVE, SUITE 200
PORTLAND, OR 97206
Counselor (Mental Health)
2415 SE 43RD AVE
PORTLAND, OR 97206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessie Brazzle's NPI number?

The NPI number for Jessie Brazzle is 1093851412. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jessie Brazzle located?

Jessie Brazzle practices at 2415 SE 43rd Ave Suite 2, Portland, OR 97206. The listed phone number is (503) 230-9654.

What is Jessie Brazzle's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jessie Brazzle was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.