Active NPI
Jennifer Hasbrook
- Professional Counselor
- Salem, OR
National Provider Identifier
1689031395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6340
- Practice address
- 200 Hawthorne Ave SE
Salem, OR 97301-5860 - Phone
- (541) 900-4285
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C6340 | OR | Primary |
Addresses
Primary practice location
200 Hawthorne Ave SE
Salem, OR 97301-5860
Mailing address
9706 Belmont Stakes
San Antonio, TX 78254-5834
Phone (503) 457-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2460 NW Troost St
Suite 1
Roseburg, OR 97471-7704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6340 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Therapy LLC | Mental Health | Current | Accepting new patients |
| Lutheran Community Services Northwest | Past | Accepting new patients |
Locations
272 NW Medical Loop
Ste E
Roseburg, OR 97471
Phone (541) 677-6141
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Roseburg, OR
- NPI 1538665013
-
- Community/Behavioral Health Agency
- McMinnville, OR
- NPI 1255542106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1689031395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9706 BELMONT STAKES",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782545834",
"telephone_number": "503-457-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973015860",
"telephone_number": "541-900-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASBROOK",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.