Jennifer McKague, LPC, LCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JENNIFER MCKAGUE, LPC, LCC

Practice address

2775 SW 17TH PL Ste 7
Redmond, OR 97756-1254

Phone

(541) 788-0795

Fax

(541) 610-1707

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Catherine McKaague, LPC

Title

Licensed Professional Counselor

Phone

(541) 788-0795

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1619523248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL STE 7",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-788-0795",
            "fax_number": "541-610-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL STE 7",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-788-0795",
            "fax_number": "541-610-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MCKAGUE, LPC, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "MCKAAGUE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "541-788-0795",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500664923",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.