Individual provider Active NPI

Jana Lynn Rivers-Norton, PHD

  • Mental Health Counselor
  • Coos Bay, OR
National Provider Identifier
1518644772
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R8251 Issued in OR
Practice address
375 Park Ave Ste 2
Coos Bay, OR 97420-2242
Phone
(520) 619-0142
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R8251 OR Primary

Addresses

Primary practice location

375 Park Ave Ste 2
Coos Bay, OR 97420-2242

Mailing address

PO Box 299
Wedderburn, OR 97491-0299
Phone (520) 619-0142

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R8251ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Moon Therapy, LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

375 Park Ave
Ste 2
Coos Bay, OR 97420
Phone (541) 249-7632

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1518644772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "WEDDERBURN",
            "state": "OR",
            "postal_code": "974910299",
            "telephone_number": "520-619-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PARK AVE STE 2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202242",
            "telephone_number": "520-619-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS-NORTON",
        "first_name": "JANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.