Active NPI
Jasmine Kay Suiter
- Counselor
- Eugene, OR
National Provider Identifier
1750950382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1255 Pearl St
Eugene, OR 97401-3570 - Phone
- (541) 687-6983
- Fax
- (541) 762-1575
- NPI assigned
- Jun 18, 2021
- Last updated
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1255 Pearl St
Eugene, OR 97401-3570
Mailing address
1255 Pearl St
Eugene, OR 97401-3570
Phone (541) 687-6983
Other practice location 1
1150 Darlene Ln Apt 245
Eugene, OR 97401-1106
Phone (907) 830-7074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wp.options.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Pier
1 Suite 204
Astoria, OR 97103-6328
Phone (503) 789-6850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Counseling LLC | Current | Accepting new patients |
Locations
10 Pier 1
Ste 204
Astoria, OR 97103
Phone (503) 789-6850
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Astoria, OR
- NPI 1437548807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1750950382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013570",
"telephone_number": "541-687-6983",
"fax_number": "541-762-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013570",
"telephone_number": "541-687-6983",
"fax_number": "541-762-1575"
}
],
"practiceLocations": [
{
"address_1": "1150 Darlene Ln Apt 245",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974011106",
"country_code": "US",
"telephone_number": "907-830-7074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUITER",
"first_name": "JASMINE",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wp.options.org",
"affiliation": "N",
"address_1": "3500 Chad Dr",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "974087426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.