Jacob A Pleich, MA, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

410 N 9TH St
Cottage Grove, OR 97424-1307

Phone

(541) 942-2850

Fax

(541) 942-1574

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1386827194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 9TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241307",
            "telephone_number": "541-942-2850",
            "fax_number": "541-942-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 9TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241307",
            "telephone_number": "541-942-2850",
            "fax_number": "541-942-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEICH",
        "first_name": "JACOB",
        "middle_name": "A",
        "credential": "MA, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019047",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve Peirce, MS, LPC
• Russell Pennington
• Thea E Petersen, MD
• Planned Parenthood of Southwestern Oregon
• Planned Parenthood of Southwestern Oregon
• Dennis Gere Polzin Jr., DO
• Erik Poyourow, MD
• Cynthia Pratt-Curtis, QMHA
• Terry Lee Pratt
• Giosanna Magnolia Prochot

• Mental Health Counselor in Cottage Grove, OR
• Providers in Cottage Grove, 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 14, 2007; 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.