Individual provider Active NPI

Jenjee T Sengkhammee, PHD

  • Counseling Psychologist
  • Milwaukie, OR
National Provider Identifier
1497167670
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2532 Issued in OR
Practice address
2029 SE Jefferson St Ste 102
Milwaukie, OR 97222-7605
Phone
(503) 922-3316
Fax
(503) 446-1897
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 407457 WI
Counseling Psychologist 103TC1900X 2532 OR Primary

Addresses

Primary practice location

2029 SE Jefferson St Ste 102
Milwaukie, OR 97222-7605

Mailing address

715 Hill St Ste 260C
Madison, WI 53705-3572
Phone (503) 922-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 14, 2021 through Jan 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2532ORMDCounseling Psychologist
407457WIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1497167670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILL ST STE 260C",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053572",
            "telephone_number": "503-922-3316",
            "fax_number": "503-446-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 SE JEFFERSON ST STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227605",
            "telephone_number": "503-922-3316",
            "fax_number": "503-446-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGKHAMMEE",
        "first_name": "JENJEE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "407457",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.