MS. JACLYN RENEE BRAZIEL QMHP
NPI 1194950576
Counselor - Mental Health in Dallas, OR
About Ms. Jaclyn Renee Braziel Qmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACLYN RENEE BRAZIEL QMHP (NPI 1194950576) is an individual mental health provider in Dallas, Oregon, licensed in Oregon (C4153) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jaclyn Renee Braziel Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DALLAS, OR 97338
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 Jaclyn Braziel's NPI number?
The NPI number for Jaclyn Braziel is 1194950576. It was assigned to this individual provider in the NPPES registry on May 28, 2009. The provider is also known as Jaclyn Renee Branske.
Where is Jaclyn Braziel located?
Jaclyn Braziel practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.
What is Jaclyn Braziel's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jaclyn Braziel enrolled in Medicare?
Yes. Jaclyn Braziel is registered in the Medicare PECOS enrollment system.
What insurance does Jaclyn Braziel accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jaclyn Braziel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jaclyn Braziel was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Jaclyn Renee Braziel, QMHP · NPI 1194950576
Mental Health provider in Dallas, Oregon. Individual provider, active in the CMS NPPES registry since May 28, 2009.
## Identity
- **NPI:** 1194950576 (Entity type: Individual)
- **Enumerated:** May 28, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C4153 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 182 SW ACADEMY ST, Dallas, OR 97338-1996
- **Phone:** (503) 623-9289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194950576) · Data from the CMS NPPES public registry.