Jared E Juett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3946 Issued in OR

Practice address

1813 W Harvard Avenue
Suite 201
Roseburg, OR 97471-2754

Phone

(541) 440-6390

Fax

(541) 440-6392

NPI assigned

Apr 20, 2007

Last updated

Oct 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Umpqua Community Health Center IncGroup PAC ID 0345233078, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jared.juett.1@17792.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Umpqua Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1396751772
  Medicare reassignment Care Compare group NPD
• Umpqua Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Glide, OR
  • NPI 1609065010
  NPD
• Umpqua Community Health Center, Inc.

  dba Aviva Health

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1720803810
  NPD
• Douglas Medical Clinic PC

  • Nurse Practitioner
  • Roseburg, OR
  • NPI 1033270863
  NPD (past)
• Douglas Medical Group, LLC

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1346578861
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1528286143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700232",
            "telephone_number": "541-440-6390",
            "fax_number": "541-440-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVENUE",
            "address_2": "SUITE 201",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712754",
            "telephone_number": "541-440-6390",
            "fax_number": "541-440-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUETT",
        "first_name": "JARED",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3946",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500688305",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surya Joseph
• Shashank Joshi, BDS, MS
• Joshua Fisher MD MPH MSC PC (Fisher Family Care)
• Rachel Suzanne Judd
• Judith a Martin L.C.S.W., P.C.
• Tim Eugene Juett, P.T.
• Julee Richards MD PC
• Susan Ann Julian, M.S., CCC, SLP
• Misty Jungling
• Juniper Tree Counseling, LLC

• Clinical Social Worker in Roseburg, OR
• Providers in Roseburg, 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 Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.