Jennifer Christine Bushard, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T2014 Issued in OR

Practice address

777 NE 7TH St Ste 216
Grants Pass, OR 97526-1632

Phone

(541) 226-9088

NPI assigned

Jan 22, 2013

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holistic Healing Therapy

  • Marriage & Family Therapist
  • Grants Pass, OR
  • NPI 1538708847
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1801134184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 216",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-226-9088",
            "fax_number": "541-291-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 216",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-226-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Tully Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951223054",
            "country_code": "US",
            "telephone_number": "831-334-0779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275835",
            "country_code": "US",
            "telephone_number": "541-476-2373",
            "fax_number": "541-479-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHARD",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 73415",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1507",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie R Burris, AA
• Jayden Burton
• Leanne S Burton, RPH
• Malialani Burton, MT
• Sherrell Lynn Burton, RN
• Scott Alan Bushnell, BA
• Robert Albert Busse, QMHA
• Crystal Ann Butcher
• Barbara Ninette Butler
• Trey Andrew Byars

• Marriage & Family Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.