Jenny Lascheck, LPC
Individual provider Active NPI Counselor · Bandon, OR
NPI 1700036670 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1700036670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1010 1St St SE Ste 110
Bandon, OR 97411-9301 - Phone
- (541) 347-2529
- Fax
- (541) 347-9196
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111001308 | OR | Practitioner - Mental Health Counselor | 1153772454 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bandon Community Health Ctr | Current |
Accepting new patients | |
| Bandon Community Health Ctr | Current |
Accepting new patients | |
| Bandon Community Health Center | Current | Accepting new patients | |
| Clackamas County Social Services Div | Past | Accepting new patients | |
| Clackamas County | Past | Accepting new patients | |
| County of Clackamas Office of County Auditor | Past | Accepting new patients |
Locations
1010 1st St SE
Ste 230
Bandon, OR 97411
1010 1st St SE
Ste 110
Bandon, OR 97411
Phone 5413472529119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1010 1St St SE Ste 110
Bandon, OR 97411-9301
Mailing address
2051 Kaen Rd
Oregon City, OR 97045-4035
Phone (503) 650-3110
Other practice location 1
38872 Proctor Blvd
Sandy, OR 97055-8035
Phone (503) 722-6950
Other names
- Jenny Pugh
Other providers in Bandon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.