Active NPI
Jessica Karriker, LLC
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1760967970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JESSICA KARRIKER, LLC
- Practice address
- 15 NW Park PL Ste 130
Bend, OR 97703-2977 - Phone
- (541) 610-8391
- NPI assigned
- Oct 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Karriker, LPC
- Title
- Licensed Prof Counselor
- Phone
- (541) 610-8391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15 NW Park PL Ste 130
Bend, OR 97703-2977
Mailing address
15 NW Park PL Ste 130
Bend, OR 97703-2977
Phone (541) 610-8391
Other names 1
- Crosswaters Family Therapy
National Provider Directory
National Provider DirectoryLocations
15 NW Park Pl
Ste 130
Bend, OR 97703
Phone (541) 610-8391
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bend, OR
- NPI 1437452570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538524800000",
"number": "1760967970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 NW PARK PL STE 130",
"city": "BEND",
"state": "OR",
"postal_code": "977032977",
"telephone_number": "541-610-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 NW PARK PL STE 130",
"city": "BEND",
"state": "OR",
"postal_code": "977032977",
"telephone_number": "541-610-8391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA KARRIKER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A",
"authorized_official_last_name": "KARRIKER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "LICENSED PROF COUNSELOR",
"authorized_official_telephone_number": "541-610-8391",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crosswaters Family Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.