Jacqueline Simone Cowell, B.S., QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

150 Shelton McMurphey Blvd
Suite 101
Eugene, OR 97401-5015

Phone

(541) 210-8090

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jackie Simone Cowell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 6, 2024 through Nov 6, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madrone Mental Health Services, LLC

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1124400908
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1871940544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SHELTON MCMURPHEY BLVD",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015015",
            "telephone_number": "541-210-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SHELTON MCMURPHEY BLVD",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015015",
            "telephone_number": "541-210-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWELL",
        "first_name": "JACQUELINE",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "B.S., QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "COWELL",
            "middle_name": "SIMONE",
            "prefix": "MS.",
            "credential": "B.S., QMHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Covenant Wellness Partners LLC
• Maria A Covernali
• Jessica Covington
• Jenna Marie Cowan
• Leah Cowan, LMT
• Cassie Cowen, LMT
• Anita Cowling, MED
• Jan Marie Cox, PT
• Jessica Gomez-Rojas Cox
• Kari Cox, R.D.

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, 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 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.