Active NPI
JM Counseling and Consulting, LLC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1730544362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3969
- Legal business name
- JM COUNSELING AND CONSULTING, LLC
- Practice address
- 610 SW Alder St
Suite 1100
Portland, OR 97205-3625 - Phone
- (503) 597-8751
- NPI assigned
- Dec 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Eileen Moore, LPC
- Title
- Counselor
- Phone
- (312) 513-7083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3969 | OR | Primary |
Addresses
Primary practice location
610 SW Alder St
Suite 1100
Portland, OR 97205-3625
Mailing address
610 SW Alder St
Suite 1100
Portland, OR 97205-3625
Phone (503) 597-8751
Other names 1
- Pathways Therapy Services
National Provider Directory
National Provider DirectoryLocations
610 SW Alder St
Ste 1100
Portland, OR 97205
Phone (312) 909-7152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451088000000",
"number": "1730544362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SW ALDER ST",
"address_2": "SUITE 1100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053625",
"telephone_number": "503-597-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SW ALDER ST",
"address_2": "SUITE 1100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053625",
"telephone_number": "503-597-8751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JM COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-26",
"last_updated": "2015-12-26",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "EILEEN",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "312-513-7083",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathways Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.