Active NPI
Jason Blevins, MA
- Mental Health Counselor
- Junction City, OR
National Provider Identifier
1366205361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 92999 Prairie Rd
Junction City, OR 97448-9498 - Phone
- (210) 722-6858
- NPI assigned
- Feb 1, 2024
- Last updated
- Jun 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
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
92999 Prairie Rd
Junction City, OR 97448-9498
Mailing address
92999 Prairie Rd
Junction City, OR 97448-9498
Phone (541) 221-7355
Other practice location 1
1 Serenity Ln
Coburg, OR 97408-9350
Phone (541) 687-1110
Other practice location 2
2355 State St Ste 101B
Salem, OR 97301-4541
Phone (541) 221-7355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolution Therapies, LLC | Mental Health | Current | Accepting new patients |
| Serenity Lane | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Junction City, OR
- NPI 1376390997
-
- Substance Abuse Rehabilitation Facility
- Coburg, OR
- NPI 1467283069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1366205361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92999 PRAIRIE RD",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974489498",
"telephone_number": "541-221-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92999 PRAIRIE RD",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974489498",
"telephone_number": "210-722-6858"
}
],
"practiceLocations": [
{
"address_1": "1 Serenity Ln",
"address_purpose": "LOCATION",
"city": "Coburg",
"state": "OR",
"postal_code": "974089350",
"country_code": "US",
"telephone_number": "541-687-1110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2355 State St Ste 101B",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973014541",
"country_code": "US",
"telephone_number": "541-221-7355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLEVINS",
"first_name": "JASON",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.