Jill Marie Vanwormer, MFT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

315 E Main St Ste 211
Hillsboro, OR 97123-4173

Phone

(503) 928-8899

Fax

(877) 920-1872

NPI assigned

Jul 25, 2008

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

Other identifiers 1

Other names 1

• Jill Bohlander Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1962667253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST STE 211",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234173",
            "telephone_number": "503-928-8899",
            "fax_number": "779-201-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST STE 211",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234173",
            "telephone_number": "503-928-8899",
            "fax_number": "877-920-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWORMER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123190",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BOHLANDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Sanne RN CFNP LLC
• Kelsey Vanhorn
• Alexis Kathryn Vannerson, BSN, RN
• Aubrey Vannice, QMHA
• Lynn M Vanthom, P.A.-C
• Patricia Vasquez
• Sam Vasquez, ATC
• Brittany Vaughan
• Merribeth Weber Vaughn, M.A.
• Vanessa Vazquez Ochoa

• Counselor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.