The Healing Alliance LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7599 Issued in OR

Legal business name

THE HEALING ALLIANCE LLC

Doing business as

Jennifer Bergmans Ybarra

Practice address

9620 NE Tanasbourne Dr Ste 300-75
Hillsboro, OR 97124-7843

Phone

(503) 481-3512

NPI assigned

Jun 5, 2018

Organization subpart

Yes

Parent organization

THE HEALING ALLIANCE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer Bergmans Ybarra, LCSW, MSWNPI 1043726508

Title

Owner

Phone

(503) 481-3512

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Bergmans Ybarra Doing business as

Part of

The Healing Alliance LLC

Locations

Practitioners 1

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.

• Jennifer Bergmans Ybarra, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
  • NPI 1043726508
  NPD Authorized official

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1447742481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300-75",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247843",
            "telephone_number": "503-481-3512",
            "fax_number": "866-472-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300-75",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247843",
            "telephone_number": "503-481-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234173",
            "country_code": "US",
            "telephone_number": "503-481-3512",
            "fax_number": "866-472-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE HEALING ALLIANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALING ALLIANCE LLC",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BERGMANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-481-3512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500740982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Bergmans Ybarra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.