Deanna Jago, CADC II, SAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

02-R-32 Issued in OR

Practice address

131 Menlo Dr N
Keizer, OR 97303-5534

Phone

(503) 304-4358

Fax

(503) 304-4361

NPI assigned

May 5, 2015

Last updated

May 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1487031878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SE THREE TREES LN",
            "city": "AMITY",
            "state": "OR",
            "postal_code": "971012142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MENLO DR N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035534",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGO",
        "first_name": "DEANNA",
        "credential": "CADC II, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "02-R-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Iwasa
• J & L Adult Care
• J & V Care Management, LLC (Synergy HomeCare of Salem)
• Sarah Jackson
• Emily Adele Jadhav
• Joel A. James, PA
• Jay A Jamieson, MD
• Jean Jarbath
• Karina Marie Jarvela, N.D.
• Jeffery W. Baker D.C. P.C. (Back to Health Clinic)

• Addiction (Substance Use Disorder) Counselor in Keizer, OR
• Providers in Keizer, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.