Active NPI
Jeanette Marie Kaschmitter, BA / MS
- Mental Health Counselor
- Grand Ronde, OR
National Provider Identifier
1477845352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00007259
- Practice address
- 9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712 - Phone
- (503) 879-2236
- Fax
- (503) 879-5089
- NPI assigned
- May 10, 2011
- 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 | LH00007259 | WA | Primary |
Addresses
Primary practice location
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Mailing address
PO Box 338
Grand Ronde, OR 97347-0338
Phone (503) 879-2236
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
- Bachelor of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00007259 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Tribes of the Grand Ronde Community of Oregon | Past | Accepting new patients | |
| Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & | Past | Accepting new patients |
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.
-
- Community Health Clinic/Center
- Grand Ronde, OR
- NPI 1104164359
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Grand Ronde, OR
- NPI 1174666358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1477845352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "GRAND RONDE",
"state": "OR",
"postal_code": "973470338",
"telephone_number": "503-879-2236",
"fax_number": "503-879-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9605 GRAND RONDE RD",
"city": "GRAND RONDE",
"state": "OR",
"postal_code": "973479712",
"telephone_number": "503-879-2236",
"fax_number": "503-879-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASCHMITTER",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"credential": "BA / MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00007259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ronde, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.