Jessamyn Wesley Reibach

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

36 NE 50TH Ave
Portland, OR 97213-2906

Phone

(712) 387-9139

NPI assigned

Aug 10, 2013

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jessamyn Wesley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Owls Nest North Therapy Joint

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1376948232

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1023441326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11571",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110571",
            "telephone_number": "971-238-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132906",
            "telephone_number": "712-387-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY REIBACH",
        "first_name": "JESSAMYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSAMYN",
            "last_name": "WESLEY",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian N. Werstein
• Katie Sue Wesemann, CADC-R
• Alexandria Wesenberg, RN
• Karen Joan Wesenberg, MD
• Wesley a. Lewis, M.D. LLC
• Julie Wesley
• Pimsani Wesley, FNP
• Quisha Marie Wesley
• Treven Wesley, MD
• Olivia Hayley Wesner

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.