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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRYANNA MARIE JELLUM SUDP
NPI 1760955272
Counselor - Addiction (Substance Use Disorder) in Longview, WA

Active since January 07, 2019
1302 COMMERCE AVE, LONGVIEW, WA 98632(360) 423-2806(360) 423-5128 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Oct 12, 2026, Apr 21, 2021 and 1 more (4 updates tracked since 2019).

About Bryanna Marie Jellum Sudp NPPES

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

BRYANNA MARIE JELLUM SUDP (NPI 1760955272) is an individual addiction (substance use disorder) provider in Longview, Washington, licensed in Washington (60279397) and active in the NPI registry since January 2019. She maintains a secondary practice location in Saint Helens.

NPPES Registry Identity

NPI1760955272
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRYANNA MARIE JELLUMCredential: SUDP
Location Address1302 COMMERCE AVELongview, WA 98632-3096
Mailing Address58646 Mcnulty WaySaint Helens, OR 97051-6210 · (503) 397-5211 · Fax (503) 397-5373
Phone(360) 423-2806
Fax(360) 423-5128
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1760955272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in WA · 60279397✔ Licensed in OR · 26-R-30
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 70177236 (WA)
1302 COMMERCE AVE, Longview, WA 98632
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Secondary Practice Location 1

Location 158646 McNulty WaySaint Helens, OR 97051-6210 · Phone (503) 397-5211 · Fax (503) 397-5373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 11

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

IVAN DAVID NELSON R-AAC
Counselor (Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
JAIMIE ALLENE MOGUSH ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 606-4638
MARIA L MIX SUDP
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
ANN MARIE SHODDY AAC,CPC,CDPT,BAE
Counselor (Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
DAVID MICHAEL MEYER SUDPT
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
HANNAH J DONAYRI BA, C-AAC
Counselor (Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
DANELLE ANDERSON
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
CHELEENA LYNN SQUIBB BA, AAC
Counselor
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806

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 Bryanna Jellum's NPI number?

The NPI number for Bryanna Jellum is 1760955272. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Bryanna Jellum located?

Bryanna Jellum practices at 1302 Commerce Ave, Longview, WA 98632. The listed phone number is (360) 423-2806.

What is Bryanna Jellum's specialty?

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

What insurance does Bryanna Jellum accept?

Health plans from Ambetter Health list Bryanna Jellum 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 Bryanna Jellum was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.