Active NPI
Jillian McGranahan Visscher, MA
- Professional Counselor
- Portland, OR
National Provider Identifier
1013663657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R7377
- Practice address
- 533 NE 87TH Ave
Portland, OR 97220-5840 - Phone
- (971) 533-6803
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R7377 | OR | Primary |
Addresses
Primary practice location
533 NE 87TH Ave
Portland, OR 97220-5840
Mailing address
16301 SE Van Zyl Dr
Damascus, OR 97089-8883
Phone (971) 533-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7377 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1013663657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16301 SE VAN ZYL DR",
"city": "DAMASCUS",
"state": "OR",
"postal_code": "970898883",
"telephone_number": "971-533-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 NE 87TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205840",
"telephone_number": "971-533-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSCHER",
"first_name": "JILLIAN",
"middle_name": "MCGRANAHAN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R7377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.