Active NPI
Jennifer Upton Egan, LPC
- Professional Counselor
- Ashland, OR
National Provider Identifier
1366289696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1105
- Practice address
- 11260 Corp Ranch Rd
Ashland, OR 97520-8802 - Phone
- (541) 282-3105
- NPI assigned
- Jul 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1105 | OR | Primary |
Addresses
Primary practice location
11260 Corp Ranch Rd
Ashland, OR 97520-8802
Mailing address
11260 Corp Ranch Rd
Ashland, OR 97520-8802
Phone (541) 282-3105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1105 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1366289696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11260 CORP RANCH RD",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975208802",
"telephone_number": "541-282-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 CORP RANCH RD",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975208802",
"telephone_number": "541-282-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "JENNIFER",
"middle_name": "UPTON",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.