Jillian Jan Amsberry, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pendleton, OR
NPI 1124833975 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1124833975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 211 SW 1St St
Pendleton, OR 97801-2139 - Phone
- (541) 278-6330
- Fax
- (541) 278-5419
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
211 SW 1st St
Pendleton, OR 97801
Phone (541) 276-6330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
211 SW 1St St
Pendleton, OR 97801-2139
Mailing address
PO Box 469
Heppner, OR 97836-0469
Phone (541) 676-9161
Other names
- Jillian Jan Smith
Other providers in Pendleton, OR
- Anna Catherine Allen
- Alliance Conditioning & Wellness, LLC
- Lila Allstott
- Nicole Amora-Smith
- Patricia Joy Amorosino
- Tia Amundson
- Andy Andersen
- Renata Anderson
- Peter James Anderton
- Tarynn Diann Angell
All providers in Pendleton, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.