Jena Harris
Individual provider Active NPI Mental Health Counselor · Phoenix, OR
NPI 1679304208 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1679304208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- PO Box 1257
Phoenix, OR 97535-1257 - Phone
- (541) 535-4133
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling Center, Inc. | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/phoenixcounseling/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
PO Box 1257
Phoenix, OR 97535-1257
Mailing address
3163 E Evans Creek Rd
Rogue River, OR 97537-5542
Phone (541) 864-0576
Other providers in Phoenix, OR
- Brent M Gordon
- Arica Rachel Grafton
- Katherine Ling-Gong Greene
- Stacey M Gregg
- William Allen Haden Jr.
- Kristen Hawkinson
- Grace Carole Herring
- Emily E Hinman
- Skyla Kenzie Ihne Gazeley
- Holly Ivie
All providers in Phoenix, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.