Individual provider Active NPI

Jane Louise Knechtel, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1073229126
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6859 Issued in OR
Practice address
333 NE Russell St Ste 202
Portland, OR 97212-3763
Phone
(503) 702-9246
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6859 OR Primary

Addresses

Primary practice location

333 NE Russell St Ste 202
Portland, OR 97212-3763

Mailing address

3033 NE Tillamook St
Portland, OR 97212-5137
Phone (503) 702-9246

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jknechtel@comcast.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002437 OR Practitioner - Mental Health Counselor 4789024605 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 NE Russell St
Suite 202
Portland, OR 97212-3763
Phone (503) 702-9246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1073229126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125137",
            "telephone_number": "503-702-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE RUSSELL ST STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123763",
            "telephone_number": "503-702-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHTEL",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jknechtel@comcast.net",
            "affiliation": "N",
            "address_1": "333 NE Russell St Ste 202",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972123763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.