Active NPI
Jacci Suzann Jones, LMFT
- Marriage & Family Therapist
- Hillsboro, OR
National Provider Identifier
1740581396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0713
- Practice address
- 3000 NW Stucki PL
230
Hillsboro, OR 97124-7107 - Phone
- (503) 278-9594
- NPI assigned
- Nov 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0713 | OR | Primary |
Addresses
Primary practice location
3000 NW Stucki PL
230
Hillsboro, OR 97124-7107
Mailing address
7577 N Denver Ave
Portland, OR 97217-5645
Phone (503) 285-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2024 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0713 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289606400000",
"number": "1740581396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7577 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175645",
"telephone_number": "503-285-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NW STUCKI PL",
"address_2": "230",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247107",
"telephone_number": "503-278-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JACCI",
"middle_name": "SUZANN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-13",
"last_updated": "2010-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.