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JASON IMMANUEL BRANDIS SUDPT
NPI 1477161552
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since July 15, 2020
1956 NE KRESKY AVE, CHEHALIS, WA 98532(360) 740-4380 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 24, 2022, Jul 15, 2020 (2 updates tracked since 2020).

About Jason Immanuel Brandis Sudpt NPPES

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

JASON IMMANUEL BRANDIS SUDPT (NPI 1477161552) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (61077105) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1477161552
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJASON IMMANUEL BRANDISCredential: SUDPT
Location Address1956 NE KRESKY AVEChehalis, WA 98532-2307
Mailing AddressPo Box 59Chehalis, WA 98532-0059 · (360) 740-4380
Phone(360) 740-4380
Sole ProprietorNo
Enumeration DateJuly 15, 2020
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1477161552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 61077105
1956 NE KRESKY AVE, Chehalis, WA 98532
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Other Identifiers 1

Medicaid2161081WA

Other Providers at the Same Location NPPES 15

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

JENNIFER LYNN WELD
Case Manager/Care Coordinator
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
CHRISTINE DICKINSON AAC, CPC
Peer Specialist
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
DAVID C BLUM MBA, SUDPT
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
JULIE GARCIA
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
JOSHUA CHRISTENSEN AAS, SUDP
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
CLAUDIA GEORGINA REYES CORRALES SUDPT
Counselor
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
NEW DIRECTIONS COUNSELING, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
KRYSTAL BONDS SUDPT
Counselor
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380

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 Jason Brandis's NPI number?

The NPI number for Jason Brandis is 1477161552. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Jason Brandis located?

Jason Brandis practices at 1956 NE Kresky Ave, Chehalis, WA 98532. The listed phone number is (360) 740-4380.

What is Jason Brandis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jason Brandis was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.