JESSICA L BRAKE MS
NPI 1235412735
Counselor - Professional in Roseburg, OR

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
2233 W HARVARD AVE, ROSEBURG, OR 97471(541) 670-2264 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica L Brake Ms NPPES

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

JESSICA L BRAKE MS (NPI 1235412735) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (C3280) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235412735
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA L BRAKECredential: MS
Location Address2233 W HARVARD AVERoseburg, OR 97471-2550
Mailing AddressPo Box 1756Roseburg, OR 97470-0420 · (541) 670-2264
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 21, 2011
Last NPPES UpdateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
NPI 1235412735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C3280
2233 W HARVARD AVE, Roseburg, OR 97471

Other Names 1

Former Name (1)Jessica L Hall Ms

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 and accepts Medicare assignment

Jessica L Brake Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931617248
PECOS Enrollment IDI20250806001335
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

Family Medicine
2233 W HARVARD AVE
ROSEBURG, OR 97471
Counselor (Professional)
2233 W HARVARD AVE
ROSEBURG, OR 97471

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 Jessica Brake's NPI number?

The NPI number for Jessica Brake is 1235412735. It was assigned to this individual provider in the NPPES registry on September 21, 2011. The provider is also known as Jessica L Hall Ms.

Where is Jessica Brake located?

Jessica Brake practices at 2233 W Harvard Ave, Roseburg, OR 97471. The listed phone number is (541) 670-2264.

What is Jessica Brake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Brake enrolled in Medicare?

Yes. Jessica Brake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Brake accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jessica Brake 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 Jessica Brake was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.