Individual provider Active NPI

Jessica Sinacori, M.ED.

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1699963934
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
345 SW Cyber Dr Ste 104
Bend, OR 97702-1045
Phone
(541) 203-0395
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

345 SW Cyber Dr Ste 104
Bend, OR 97702-1045

Mailing address

345 SW Cyber Dr Ste 104
Bend, OR 97702-1045
Phone (541) 203-0395

Other practice location 1

1500 NE Irving St
Suite 250
Portland, OR 97232-2243
Phone (503) 233-4356

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)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Flow Through Therapy Marriage & Family Therapist CurrentSince Aug 1, 2019 Accepting new patients

Locations

345 SW Cyber Dr
Ste 104
Bend, OR 97702
Phone (541) 203-0395

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1699963934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SW CYBER DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021045",
            "telephone_number": "541-203-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SW CYBER DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021045",
            "telephone_number": "541-203-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NE Irving St",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322243",
            "country_code": "US",
            "telephone_number": "503-233-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINACORI",
        "first_name": "JESSICA",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 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.