Integrative Behavioral Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INTEGRATIVE BEHAVIORAL HEALTH AND WELLNESS LLC

Practice address

258 SW 5TH St Ste 2
Redmond, OR 97756-2150

Phone

(541) 203-0771

NPI assigned

Sep 12, 2023

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacklynn Crump, PMHNPNPI 1861835654

Title

Owner

Phone

(541) 203-0771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacklynn Crump, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redmond, OR
  • NPI 1861835654

  Psychiatric/Mental Health, Adult

  Medicare reassignment NPD Authorized official
• Nichole Brenaye Turney, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Redmond, OR
  • NPI 1912781626
  Medicare reassignment

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1376320440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SW 5TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562150",
            "telephone_number": "541-203-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SW 5TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562150",
            "telephone_number": "541-203-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "JACKLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-203-0771",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ieong
• Viriyavong V Im, PHARM D
• Infinite Healing Solutions
• Infinite Healing Solutions Family Clinic LLC
• Marissa Inman
• Integrative Mind Body Psychotherapy LLC
• Internal Medicine Associates of Redmond
• Pamela J Irby, MD
• Reanna Irigoyen, MS, LPC, NCC, MSW
• Lukas Ishiyama, CADC-R

• Psychiatric/Mental Health Nurse Practitioner in Redmond, OR
• Providers in Redmond, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.