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

Jessica L Brake, MS

Individual provider Professional Counselor · NPI 1235412735

Jessica L Brake, MS is a Mental Health Counselor in Roseburg, Oregon. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2233 W Harvard Ave
Roseburg, OR 97471-2550
Phone: (541) 670-2264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C3280 (OR)

Record details

NPI number1235412735
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedSeptember 21, 2011
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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