Janice D Imel, M.A., L.P.C., NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2743 Issued in OR

Practice address

230 SW 3Rd St
Suite 308
Corvallis, OR 97333-4692

Phone

(541) 602-4580

NPI assigned

Jan 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1225276157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SW 3RD ST",
            "address_2": "SUITE 308",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334692",
            "telephone_number": "541-602-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SW 3RD ST",
            "address_2": "SUITE 308",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334692",
            "telephone_number": "541-602-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMEL",
        "first_name": "JANICE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C., NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C2743",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653547",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.