Individual provider Active NPI

Jenna Boyle, LPC

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1366922213
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7221 Issued in OR
Practice address
547 Liberty St
Ashland, OR 97520
Phone
(530) 925-5915
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8318 OR
Professional Counselor 101YP2500X C7221 OR Primary

Addresses

Primary practice location

547 Liberty St
Ashland, OR 97520

Mailing address

547 Liberty St
Ashland, OR 97520
Phone (530) 925-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826001246 OR Practitioner - Mental Health Counselor 1254870090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fjord Counseling LLCGroup PAC ID 1658711015, 8 clinicians

Practice addresses (Care Compare)

2440 Willamette St
Suite 202
Eugene, OR 97405-3170
Phone (541) 234-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8318ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fjord Counseling LLC CurrentSince Mar 7, 2025 Accepting new patients
Blue Flame Counseling Professional CurrentSince Aug 6, 2024 Accepting new patients
Arise Counseling Service, LLC. Dba Northlight Counseling Professional PastSince Aug 2, 2020 Accepting new patients

Locations

534 Washington St
Ste 6
Ashland, OR 97520
Phone (541) 675-2055

2440 Willamette St
Ste 202
Eugene, OR 97405
Phone (541) 234-3090

Organizations & group practices 3

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1366922213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 LIBERTY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "530-925-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 LIBERTY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "530-925-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-05-19",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8318",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.