JOSHUA MATTHEW NIELSEN
NPI 1326755042
Counselor - Mental Health in Brookings, OR
Active since November 02, 2022
About Joshua Matthew Nielsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA MATTHEW NIELSEN (NPI 1326755042) is an individual mental health provider in Brookings, Oregon and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1326755042
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSHUA MATTHEW NIELSEN
Location Address615 5TH ST # 300Brookings, OR 97415-9199
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(877) 408-8941
Sole ProprietorNo
Enumeration DateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1326755042 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
615 5TH ST # 300, Brookings, OR 97415
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.
Counselor (Addiction (Substance Use Disorder))
615 5TH ST # 300
BROOKINGS, OR 97415
BROOKINGS, OR 97415
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326755042, enumerated as an "individual" on November 02, 2022.
The provider is located at 615 5TH ST # 300 BROOKINGS, OR 97415 and the phone number is (877) 408-8941.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
