Individual provider Active NPI

Jeannette L Hurley, LMFT

  • Marriage & Family Therapist
  • Grants Pass, OR
National Provider Identifier
1023230349
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77395 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T1176OtherOROREGON LMFT
LMFT77395OtherCACALIFORNIA LMFT

Other names 1

  • Lauren Hurley Other name

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

LicenseStateTypeSpecialty
LMFT77395CAMDMarriage & Family Therapist
T1176ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transform Youth and Family Counseling, LLC CurrentSince Aug 7, 2022 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.

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.

Verify at the official NPI Registry.