Active NPI
Jonathon Robert Haley, LCSW
- Clinical Social Worker
- Redmond, OR
National Provider Identifier
1962066621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L13215
- Practice address
- 7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014 - Phone
- (541) 904-5216
- Fax
- (541) 527-4347
- NPI assigned
- Apr 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L13215 | OR | Primary |
Addresses
Primary practice location
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Mailing address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216
Other practice location 1
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (503) 220-8262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L13215 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Horizons Psychiatric Group LLC | Current | Accepting new patients | |
| Rose City Therapists LLC | Social Worker | Past | Accepting new patients |
| Virtuwell Therapy, LLC | Past | Accepting new patients |
Locations
7515 Falcon Crest Dr
#200
Redmond, OR 97756
Interoperability endpoints
- jonathon.haley.1@29601.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Redmond, OR
- NPI 1629724695
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1962066621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 FALCON CREST DR # 200",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565014",
"telephone_number": "541-904-5216",
"fax_number": "541-527-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 FALCON CREST DR # 200",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565014",
"telephone_number": "541-904-5216",
"fax_number": "541-527-4347"
}
],
"practiceLocations": [
{
"address_1": "3710 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392964",
"country_code": "US",
"telephone_number": "503-220-8262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALEY",
"first_name": "JONATHON",
"middle_name": "ROBERT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L13215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.