JILLIAN SHELBY BROCKMOLLER
NPI 1821788266
Peer Specialist in Longview, WA

Q: What is Jillian Brockmoller's NPI number?

The NPI number for Jillian Brockmoller is 1821788266. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Jillian Brockmoller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since May 09, 2023

720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 577-0187 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jillian Shelby Brockmoller NPPES

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

JILLIAN SHELBY BROCKMOLLER (NPI 1821788266) is an individual peer specialist in Longview, Washington and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1821788266

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJILLIAN SHELBY BROCKMOLLER

Location Address720 14TH AVELongview, WA 98632-2315

Mailing AddressPo Box 1847Longview, WA 98632-8140 · (360) 423-0203 · Fax (360) 577-0187

Phone(360) 423-0203

Fax(360) 577-0187

Sole ProprietorNo

Enumeration DateMay 9, 2023

NPPES CertifiedMay 9, 2023

✔ NPI 1821788266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

720 14TH AVE, Longview, WA 98632

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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.

MRS. MICHELLE CHAPMAN

Counselor