Juniper Counseling Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JUNIPER COUNSELING COLLECTIVE

Practice address

5741 NE Glisan St Ste 2
Portland, OR 97213-3793

Phone

(503) 218-3631

Fax

(971) 266-4451

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Kelsey Leigh Domann-Scholz, LPC, LMHCNPI 1447604822

Title

Counselor and Owner

Phone

(503) 407-1740

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Domann-Scholz, LPCA, NCC, MA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1447604822
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1841936002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 NE GLISAN ST STE 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133793",
            "telephone_number": "503-218-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 NE GLISAN ST STE 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133793",
            "telephone_number": "503-218-3631",
            "fax_number": "971-266-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER COUNSELING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "DOMANN-SCHOLZ",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "COUNSELOR AND OWNER",
        "authorized_official_telephone_number": "503-407-1740",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terresa Shao-Ving Jung, MD
• William T Jung, RPH
• Samuel Francis Junge
• Ivana Anto Jungic
• Darla Pearl Jungmeyer
• Juniper Psychological Services
• Edward Houk Chun Junn, MD
• Camille Renee Juntunen, MA,CCC/SLP
• Yen-Yi Juo, M.D.
• Randell Peter Jura, M.D.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.