Active NPI
Tracey Jones
- Mental Health Counselor
- Hillsboro, OR
National Provider Identifier
1154026615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1915 NE Stucki Ave FL 4
Hillsboro, OR 97006-6951 - Phone
- (814) 243-0414
- NPI assigned
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1915 NE Stucki Ave FL 4
Hillsboro, OR 97006-6951
Mailing address
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 243-0414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Center | Mental Health | Current | Accepting new patients |
Locations
1915 NE Stucki Ave
Fl 4
Hillsboro, OR 97006
1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014
Interoperability endpoints
- https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1154026615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CARPENTERS PARK RD",
"city": "DAVIDSVILLE",
"state": "PA",
"postal_code": "159289223",
"telephone_number": "814-243-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 NE STUCKI AVE FL 4",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970066951",
"telephone_number": "814-243-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TRACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.