Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brainbow Forge

Organization Mental Health Counselor · NPI 1659119030

Brainbow Forge is a Mental Health Counselor in Coos Bay, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

137 Hall Ave
Coos Bay, OR 97420-1519
Phone: (541) 229-7879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1659119030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariena Joy — Therapist · (541) 229-7879
NPI enumeratedJuly 18, 2024
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address3367 W 18th Ave, Eugene, OR 97402-3109

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