Individual provider Active NPI

Jennifer Jo Linton

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1740659465
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5434 Issued in OR
Practice address
2421 Lancaster Dr NE
Salem, OR 97305-1220
Phone
(503) 588-5352
Fax
(503) 585-4990
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5434 OR Primary

Addresses

Primary practice location

2421 Lancaster Dr NE
Salem, OR 97305-1220

Mailing address

2045 Silverton Rd NE Ste B
Salem, OR 97301-0100
Phone (503) 588-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103004793 OR Practitioner - Mental Health Counselor 7911358940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 576-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5434ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Jan 1, 2024 Accepting new patients
Marion County CurrentSince Jan 1, 2024 Accepting new patients

Locations

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

2045 Silverton Rd NE
Ste B
Salem, OR 97301
Phone (503) 364-3047

2421 Lancaster Dr NE
Salem, OR 97305
Phone (503) 585-4977

Organizations & group practices 2

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1740659465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5351",
            "fax_number": "503-361-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051220",
            "telephone_number": "503-588-5352",
            "fax_number": "503-585-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.