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JESSICA BRAKE, LPC, LLC
NPI 1578287090
Counselor - Professional in Roseburg, OR

Active since September 28, 2022
2233 W HARVARD AVE, ROSEBURG, OR 97471(541) 704-8745 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Brake, Lpc, Llc NPPES

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

JESSICA BRAKE, LPC, LLC (NPI 1578287090) is a healthcare organization registered as a professional in Roseburg, Oregon and active in the NPI registry since September 2022. The organization lists Jessica Brake, Owner, as its authorized official.

NPPES Registry Identity

NPI1578287090
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJESSICA BRAKE, LPC, LLC
Location Address2233 W HARVARD AVERoseburg, OR 97471-2550
Mailing AddressPo Box 1756Roseburg, OR 97470-0420 · (541) 670-2264
Phone(541) 704-8745
Organization SubpartNo
Authorized OfficialJessica BrakeOwner · (541) 670-2264
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1578287090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2233 W HARVARD AVE, Roseburg, OR 97471
Open in Google Maps ↗

Other Identifiers 1

Medicaid500663462OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. DANIELA O MARJANOVIC MD
Family Medicine
2233 W HARVARD AVE
ROSEBURG, OR 97471
Douglas County (541) 673-0215
JESSICA L BRAKE MS
Counselor (Professional)
2233 W HARVARD AVE
ROSEBURG, OR 97471
Douglas County (541) 670-2264

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, Lpc, LLC's NPI number?

The NPI number for Jessica Brake, Lpc, LLC is 1578287090. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Jessica Brake, Lpc, LLC located?

Jessica Brake, Lpc, LLC is located at 2233 W Harvard Ave, Roseburg, OR 97471. The listed phone number is (541) 704-8745.

What is Jessica Brake, Lpc, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Brake, Lpc, LLC was last updated on September 28, 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.