Active NPI
Jamie Lynn Watson
- Mental Health Counselor
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307 - Phone
- (971) 229-4009
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- No
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
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Mailing address
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone (971) 229-4009
Other practice location 1
1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717
Phone (360) 397-8484
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
Enrollment records 1
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
Practice addresses (Care Compare)
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone (971) 229-4009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightspire Health, LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Mental Health | Past | Accepting new patients |
| Western Psychological and Counseling Services LLC | Mental Health | Past | Accepting new patients |
Locations
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494
825 NE 20th Ave
Ste 120
Portland, OR 97232
Phone (971) 229-4009
10824 SE Oak St
Portland, OR 97222
Phone (717) 516-1080
Interoperability endpoints
- lifestancehealth.jamiewatson@148835.advancedmd-direct.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaverton, OR
- NPI 1518656776
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Mental Health
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1437647054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9670 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053307",
"telephone_number": "971-229-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9670 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053307",
"telephone_number": "971-229-4009"
}
],
"practiceLocations": [
{
"address_1": "1601 E Fourth Plain Blvd Bldg 17",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986613717",
"country_code": "US",
"telephone_number": "360-397-8484",
"fax_number": "360-397-8494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "JAMIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.