Active NPI
Alexis McKenna, MA, LMFT
- Mental Health Counselor
- Medford, OR
National Provider Identifier
1396375481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 221 W Main St
Medford, OR 97501-2728 - Phone
- (541) 821-9559
- Fax
- (541) 702-1236
- NPI assigned
- Jan 17, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
221 W Main St
Medford, OR 97501-2728
Mailing address
PO Box 8097
Medford, OR 97501-0997
Phone (541) 821-9559
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer@jhendersoncounseling.com | Health Information Exchange (HIE) | Henderson Behavioral Health, LLC |
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 |
|---|---|---|---|
| Family Behavioral Health Network, LLC | Mental Health | Current | Accepting new patients |
| Henderson Behavioral Health, LLC | Mental Health | Past | Accepting new patients |
Locations
221 W Main St
Medford, OR 97501
Phone (541) 200-2399
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Medford, OR
- NPI 1538708953
-
- Mental Health Counselor
- Medford, OR
- NPI 1962914432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1396375481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8097",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010997",
"telephone_number": "541-821-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975012728",
"telephone_number": "541-821-9559",
"fax_number": "541-702-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "ALEXIS",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2023-11-27",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@jhendersoncounseling.com",
"affiliation": "Y",
"endpointDescription": "jennifer@jhendersoncounseling.com",
"affiliationName": "Henderson Behavioral Health, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "328 S Central Ave",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975017274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.