Jennifer Lea Thorer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4637 Issued in OR

Practice address

203 N Platt Ave
Eagle Point, OR 97524-8618

Phone

(541) 830-6617

Fax

(541) 414-1925

NPI assigned

Sep 12, 2013

Last updated

Oct 4, 2017By 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 2

Addresses

Other names 1

• Ms. Jennifer Lea Paxson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• True North Counseling LLC

  • Community/Behavioral Health Agency
  • Medford, OR
  • NPI 1932879756
  NPD Authorized official
• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1073511721
  NPD (past)
• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Eagle Point, OR
  • NPI 1790059731
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1932534641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047136",
            "telephone_number": "541-842-7704",
            "fax_number": "541-842-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N PLATT AVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248618",
            "telephone_number": "541-830-6617",
            "fax_number": "541-414-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 South Holly Street",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97501",
            "country_code": "US",
            "telephone_number": "541-774-8200",
            "fax_number": "541-774-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORER",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4637",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PAXSON",
            "middle_name": "LEA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis Jon Sturos, MD
• Bonnie B Summers
• Pamela Thogmartin
• Erika Leigh Thompson, PHARMD
• Karen Melissa Thompson, PT, DPT
• Jeffrey Ray Tornabene, D.C.
• Wal-Mart Stores, Inc. (Vision Center 30-5424)
• Mandy Dawn Walden
• Walmart
• Walmart Inc. (Walmart Pharmacy 10-5424)

• Mental Health Counselor in Eagle Point, OR
• Providers in Eagle Point, 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 Oct 4, 2017; 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.