- Practice location
- 137 Hall Ave, Coos Bay, OR 97420-1519
- Phone
- 541-229-7879
- Fax
- —
- Last updated
- May 20, 2025
Brainbow Forge is a healthcare organization based in Coos Bay, OR. The NPI number for Brainbow Forge is 1659119030. The current practice location address is 137 Hall Ave, Coos Bay, OR 97420-1519 and the office can be reached by phone at 541-229-7879. The NPI was assigned on July 18, 2024 and the record was last updated in NPPES on May 20, 2025.
●Provider Profile Details
- NPI Number
- 1659119030
- Provider Name
- Brainbow Forge
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mariena Joy, LCSW, L10767, CLSS · Therapist · 541-229-7879
- Enumeration Date
- July 18, 2024
- Last Update Date
- May 20, 2025
- Certification Date
- May 20, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 137 Hall Ave
Coos Bay, OR 97420-1519 - City
- Coos Bay
- State
- Oregon
- ZIP
- 97420-1519
- Country
- US
- Phone Number
- 541-229-7879
✉Business Mailing Address
- Address
- 3367 W 18TH Ave
Eugene, OR 97402-3109 - City
- Eugene
- State
- OR
- ZIP
- 97402-3109
- Phone Number
- 541-229-7879
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | No | — | — |
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Coos Bay, OR
View all providers in Coos Bay →?Frequently Asked Questions
What is the NPI number of Brainbow Forge?
The NPI number of Brainbow Forge is 1659119030. It was assigned on July 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Brainbow Forge?
Brainbow Forge is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Brainbow Forge practice?
The practice location is 137 Hall Ave, Coos Bay, OR 97420-1519. The office can be reached at 541-229-7879 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659119030 directly on the NPPES registry website at npiregistry.cms.hhs.gov.