Active NPI
Jeannette L Hurley, LMFT
- Marriage & Family Therapist
- Grants Pass, OR
National Provider Identifier
1023230349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT77395
- Practice address
- 777 NE 7TH St Ste 205
Grants Pass, OR 97526-1632 - Phone
- (541) 507-6400
- Fax
- (541) 479-4010
- NPI assigned
- May 3, 2007
- Last updated
- Aug 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1176 | OR | |
| Marriage & Family Therapist | 106H00000X | LMFT77395 | CA | Primary |
Addresses
Primary practice location
777 NE 7TH St Ste 205
Grants Pass, OR 97526-1632
Mailing address
PO Box 503010
White City, OR 97503-0813
Phone (541) 507-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1176 | Other | OR | OREGON LMFT |
| LMFT77395 | Other | CA | CALIFORNIA LMFT |
Other names 1
- Lauren Hurley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT77395 | CA | MD | Marriage & Family Therapist |
| T1176 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform Youth and Family Counseling, LLC | Current | Accepting new patients | |
| Institute for the Redesign of Learning | Marriage & Family Therapist | Past | Accepting new patients |
Locations
777 NE 7th St
Ste 205
Grants Pass, OR 97526
Phone (541) 507-6400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Grants Pass, OR
- NPI 1073192654
-
dba Almansor Clinical Serivces
- Marriage & Family Therapist
- South Pasadena, CA
- NPI 1124212295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1023230349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503010",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975030813",
"telephone_number": "541-507-6400",
"fax_number": "541-479-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NE 7TH ST STE 205",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261632",
"telephone_number": "541-507-6400",
"fax_number": "541-479-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "JEANNETTE",
"middle_name": "L",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1176",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT77395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LMFT",
"identifier": "T1176",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LMFT",
"identifier": "LMFT77395",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "HURLEY",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.