Active NPI
Jenny Thom, LPC
- Mental Health Counselor
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C6096
- Practice address
- 9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307 - Phone
- (971) 229-4009
- Fax
- (866) 324-6009
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C6096 | OR | Primary |
Addresses
Primary practice location
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Mailing address
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone (971) 229-4009
Other names 1
- Jenny Thom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250306001656 | OR | Practitioner - Mental Health Counselor | 7911428909 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Brightspire Health, LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Working Together Family Therapy and Counseling | Mental Health | Past | Accepting new patients |
Locations
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
10824 SE Oak St
Portland, OR 97222
Phone (717) 516-1080
18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaverton, OR
- NPI 1518656776
OR
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health, OR
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Mental Health
-
- Mental Health Counselor
- Portland, OR
- NPI 1427520733
Mental Health
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brightspire Health LLC
Practice addresses (Care Compare)
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone (971) 229-4009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1003316043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9670 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053307",
"telephone_number": "971-229-4009",
"fax_number": "866-324-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9670 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053307",
"telephone_number": "971-229-4009",
"fax_number": "866-324-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOM",
"first_name": "JENNY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "THOM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.