Individual provider Active NPI

Jane Lynn Docken, LPC

  • Counselor
  • Roseburg, OR
National Provider Identifier
1598012965
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C1327 Issued in OR
Practice address
877 NE Church Ave
Roseburg, OR 97470-1590
Phone
(541) 817-2905
NPI assigned
Aug 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1327 OR Primary

Addresses

Primary practice location

877 NE Church Ave
Roseburg, OR 97470-1590

Mailing address

877 NE Church Ave
Roseburg, OR 97470-1590
Phone (541) 817-2905

Other names 1

  • Ms. Jane Lynn Addis-Docken Former name

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

State licenses

LicenseStateTypeSpecialty
C1327ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1598012965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 NE CHURCH AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701590",
            "telephone_number": "541-817-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 NE CHURCH AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701590",
            "telephone_number": "541-817-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKEN",
        "first_name": "JANE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C1327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ADDIS-DOCKEN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.