Jennifer Bergmans Ybarra, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7599 Issued in OR

Practice address

9620 NE Tanasbourne Dr Ste 300-75
Hillsboro, OR 97124-7843

Phone

(503) 481-3512

NPI assigned

Dec 20, 2017

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 identifiers 1

Other names 1

• Ms. Jennifer Bergmans Bergmans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healing Alliance LLC

  • Clinical Social Worker
  • Hillsboro, OR
  • NPI 1447742481
  NPD Authorized official

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1043726508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300-75",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247843",
            "telephone_number": "503-481-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300-75",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247843",
            "telephone_number": "503-481-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6997 SE Ariel St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971236331",
            "country_code": "US",
            "telephone_number": "503-939-1011",
            "fax_number": "503-939-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "JENNIFER",
        "middle_name": "BERGMANS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500740982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERGMANS",
            "middle_name": "BERGMANS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Yang
• Yanwen Chen DMD PC
• Katrina Ho Yap, PHARMD
• Isaiah Ybarra, PA
• Jacqueline Elena Ybarra, RPH
• Shirin Yekekar
• Michelle Yi
• Natalie C Yin, MD
• Jerome Yoman, PH.D., ABBP
• David Yoon

• Clinical Social Worker in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.