Active NPI
Sunnybrook Counseling
- Professional Counselor
- Klamath Falls, OR
National Provider Identifier
1013432038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3662
- Legal business name
- SUNNYBROOK COUNSELING
- Practice address
- 905 Main St
Suite 508
Klamath Falls, OR 97601 - Phone
- (541) 880-4738
- Fax
- (541) 880-4738
- NPI assigned
- Aug 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Turgesen, LPC
- Title
- Licensed Professional Counselor
- Phone
- (541) 880-4738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3662 | OR | |
| Professional Counselor | 101YP2500X | C3662 | OR | Primary |
Addresses
Primary practice location
905 Main St
Suite 508
Klamath Falls, OR 97601
Mailing address
905 Main St Ste 508
Klamath Falls, OR 97601-6062
Phone (541) 880-4738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500700790 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
905 Main St
Ste 508
Klamath Falls, OR 97601
Phone (541) 331-3152
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013432038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 MAIN ST STE 508",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016062",
"telephone_number": "541-880-4738",
"fax_number": "541-880-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 MAIN ST",
"address_2": "SUITE 508",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-880-4738",
"fax_number": "541-880-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNYBROOK COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TURGESEN",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "541-880-4738",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3662",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500700790",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.