Jasmine Arrusamy

Individual provider Active NPI Professional Counselor · Forest Grove, OR

NPI 1114409398 · NPPES record last updated Oct 14, 2022

Key facts

NPI
1114409398
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1919 Birch St
Forest Grove, OR 97116-2431
Phone
(971) 704-5095
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Institute Past
since Dec 15, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OR Yes

Addresses

Primary practice location

1919 Birch St
Forest Grove, OR 97116-2431

Mailing address

1919 Birch St
Forest Grove, OR 97116-2431

Other providers in Forest Grove, OR

All providers in Forest Grove, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.