Organization Active NPI

JM Counseling and Consulting, LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1730544362
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3969 Issued in OR
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

Updated by the provider on Dec 26, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.