Organization Active NPI

Jennifer Weeks Ms LPC LLC

Doing business as Jennifer Weeks Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bend, OR
National Provider Identifier
1639687809
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C4552 Issued in OR
Legal business name
JENNIFER WEEKS MS LPC LLC
Doing business as
Jennifer Weeks Counseling, LLC
Practice address
61533 Parrell Rd
Bend, OR 97702-2701
Phone
(541) 480-9443
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Jennifer B Weeks, LPCNPI 1437580313
Title
Owner
Phone
(541) 480-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C4552 OR Primary

Addresses

Primary practice location

61533 Parrell Rd
Bend, OR 97702-2701

Mailing address

1104 NE Revere Ave
Bend, OR 97701-4150
Phone (541) 480-9443

Other identifiers 1

IdentifierTypeStateIssuer
500665864MedicaidOR

Other names 1

  • Jennifer Weeks Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

61533 Parrell Rd
Bend, OR 97702
Phone (530) 277-5025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1639687809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014150",
            "telephone_number": "541-480-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61533 PARRELL RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022701",
            "telephone_number": "541-480-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WEEKS MS LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-480-9443",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "C4552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500665864",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Weeks Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.