Active NPI
Keri Jaeger
- Marriage & Family Therapist
- Dallas, OR
National Provider Identifier
1740678275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 182 SW Academy St
Dallas, OR 97338 - Phone
- (503) 623-9289
- NPI assigned
- Jan 6, 2015
- Last updated
- Nov 1, 2019
- 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 | Primary |
Addresses
Primary practice location
182 SW Academy St
Dallas, OR 97338
Mailing address
182 SW Academy St
Dallas, OR 97338-1996
Other practice location 1
2993 Center St NE
Salem, OR 97301-4527
Phone (971) 208-2628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1740678275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 SW ACADEMY ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973381996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 SW ACADEMY ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "97338",
"telephone_number": "503-623-9289"
}
],
"practiceLocations": [
{
"address_1": "2993 Center St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973014527",
"country_code": "US",
"telephone_number": "971-208-2628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAEGER",
"first_name": "KERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.