Jacqueline Jaye Whitt, THW, PWS, PSS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

THW0946 Issued in OR

Practice address

21004 S Highway 213
Oregon City, OR 97045-9192

Phone

(503) 839-0089

NPI assigned

Apr 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1609363720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 NE BROADWAY APT 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205682",
            "telephone_number": "503-839-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21004 S HIGHWAY 213",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459192",
            "telephone_number": "503-839-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "JACQUELINE",
        "middle_name": "JAYE",
        "name_prefix": "Ms.",
        "credential": "THW, PWS, PSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "THW0946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH ATHORITY",
            "identifier": "THW0946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi White
• Michele White
• Rachel White, D.D.S.
• Jennifer Ann Whiteman, M.A.
• Hazel Jane Whitman, LCSW
• Michelle Whitt, OT
• William Whittemore, D.M.D.
• Matthew James Wight
• Sara Wilcox, RDH
• Bethany Janelle Wild

• Mental Health Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.