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BRAINBOW FORGE
NPI 1659119030
Social Worker - Clinical in Coos Bay, OR

Active since July 18, 2024
137 HALL AVE, COOS BAY, OR 97420(541) 229-7879 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Brainbow Forge NPPES

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

BRAINBOW FORGE (NPI 1659119030) is a healthcare organization registered as a clinical in Coos Bay, Oregon and active in the NPI registry since July 2024. The organization lists Mariena Joy, Therapist, as its authorized official.

NPPES Registry Identity

NPI1659119030
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRAINBOW FORGE
Location Address137 HALL AVECoos Bay, OR 97420-1519
Mailing Address3367 W 18th AveEugene, OR 97402-3109 · (541) 229-7879
Phone(541) 229-7879
Organization SubpartNo
Authorized OfficialMariena JoyTherapist · (541) 229-7879
Enumeration DateJuly 18, 2024
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1659119030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
137 HALL AVE, Coos Bay, OR 97420
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

HEATHER THOMA RN, QMHP
Registered Nurse
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-2088
OREGON COAST MIND AND BODY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-2088
FLOWING FUNCTION LLC
Physical Therapist
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-4468
MS. MARIENA STAR JOY LCSW
Social Worker (Clinical)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 229-7879
DR. ALISSE ANNA DIERS DNP
Nurse Practitioner (Psychiatric/Mental Health)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-2088

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 Brainbow Forge's NPI number?

The NPI number for Brainbow Forge is 1659119030. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Brainbow Forge located?

Brainbow Forge is located at 137 Hall Ave, Coos Bay, OR 97420. The listed phone number is (541) 229-7879.

What is Brainbow Forge's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brainbow Forge was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.