Jessica L. Brake, MS
NPI 1235412735ActiveIndividual· Counselor, Professional· Roseburg, OR
Counselor, Professional (MS) in Roseburg, Oregon, licensed in OR, with an NPI issued in September 2011. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1235412735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS |
| Sole proprietor | No |
| NPI issued | Sep 21, 2011 |
| Last updated in NPPES | Oct 19, 2022 |
| Certified by provider | Oct 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C3280 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OR) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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