Jessica Jolene Patricia Izsak

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

66 Club Rd Ste 350
Eugene, OR 97401-2599

Phone

(283) 431-7541

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Griffin and Associated PractitionersGroup PAC ID 4385180405, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Griffin & Associated Practitioners

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1336678952

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Whole Self Psychotherapy LLC

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1427901842

  Single Specialty

  NPD Authorized official
• Griffin & Associated Practitioners

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1952115198
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1932892007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 TYSON LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043559",
            "telephone_number": "541-517-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012599",
            "telephone_number": "283-431-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZSAK",
        "first_name": "JESSICA",
        "middle_name": "JOLENE PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalisa Nicole Ivey, LCSW
• Elizabeth Jean Ivie, PHD
• Mariana Ivie, RN
• Gregory Lee Ivy, RN
• Laura Elizabeth Ivy, LCSW
• Megan Izzo
• Jabeka Inc.
• Andrew Jablonski
• Jackie'S Beauty Supply, LLC
• Thomas Matthew Jacks, DDS

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.