Active NPI
Karaleen Jackson, MA, LMFT
- Marriage & Family Therapist
- Redmond, OR
National Provider Identifier
1699140632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1332
- Practice address
- 7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014 - Phone
- (541) 904-5216
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | T1332 | OR | Primary |
Addresses
Primary practice location
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7500
Other practice location 1
51340 Highway 97
LA Pine, OR 97739-9871
Phone (541) 322-1746
Other names 1
- Karaleen Lukash
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1332 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Horizons Psychiatric Group LLC | Current | Accepting new patients |
Locations
7515 Falcon Crest Dr
#200
Redmond, OR 97756
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Redmond, OR
- NPI 1629724695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1699140632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017638",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 FALCON CREST DR # 200",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565014",
"telephone_number": "541-904-5216"
}
],
"practiceLocations": [
{
"address_1": "51340 Highway 97",
"address_purpose": "LOCATION",
"city": "LA Pine",
"state": "OR",
"postal_code": "977399871",
"country_code": "US",
"telephone_number": "541-322-1746",
"fax_number": "541-322-7630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "KARALEEN",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARALEEN",
"last_name": "LUKASH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.