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JESSICA BRUNELLE LPC
NPI 1770836934
Counselor - Mental Health in Gresham, OR

Active since October 24, 2012PECOS Enrolled
831 NW COUNCIL DR STE 300, GRESHAM, OR 97030(503) 258-4281 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Brunelle Lpc NPPES

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

JESSICA BRUNELLE LPC (NPI 1770836934) is an individual mental health provider in Gresham, Oregon and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1770836934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA BRUNELLECredential: LPC
Location Address831 NW COUNCIL DR STE 300Gresham, OR 97030-3725
Mailing Address831 Nw Council Dr Ste 300Gresham, OR 97030-3725 · (503) 258-4281
Phone(503) 258-4281
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 24, 2012
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1770836934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
831 NW COUNCIL DR STE 300, Gresham, OR 97030
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Other Identifiers 1

Medicaid274147OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Brunelle Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678049178
PECOS Enrollment IDI20260421002282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Brunelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightways Counseling Group LLC
104 mi
Group Psychotherapy
7515 FALCON CREST DR # 200
Redmond, OR 97756
  • Reassigned Medicare billing, Oregon enrollment
  • 86 clinicians in this Medicare group
NPI 1689191165 (541) 904-5216

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DRAKE MIYAKE MSW
Social Worker
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600
CASEY LEIGH ROBERTS
Social Worker (Clinical)
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600
MICHELLE L DOYLE
Counselor (Mental Health)
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (428) 150-3258
CECILIA MARIE BARANYK
Counselor (Mental Health)
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600
COLETTE DAVIS
Counselor
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600
RANDALL JOSEPH BURNETT
Counselor (Mental Health)
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (460) 050-3258
MOLLY KATHLEEN ZANINOVICH MSW
Counselor
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600
BETH DIANE FRENCH PSY.D.
Psychologist
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030
Multnomah County (503) 258-4600

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 Brunelle's NPI number?

The NPI number for Jessica Brunelle is 1770836934. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Jessica Brunelle located?

Jessica Brunelle practices at 831 NW Council Dr Ste 300, Gresham, OR 97030. The listed phone number is (503) 258-4281.

What is Jessica Brunelle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Brunelle enrolled in Medicare?

Yes. Jessica Brunelle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Brunelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Brunelle reassigns Medicare benefits to Brightways Counseling Group LLC (Redmond, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Brunelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Brunelle accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jessica Brunelle 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 Jessica Brunelle was last updated on July 27, 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.