Organization Active NPI

Jessica Karriker, LLC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1760967970
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 3, 2018

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.