Organization Active NPI

Jenwel Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corvallis, OR
National Provider Identifier
1972022903
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JENWEL COUNSELING LLC
Practice address
260 SW Madison Ave Ste 119-1
Corvallis, OR 97333-4798
Phone
(406) 581-5830
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Jennifer R Welton, LCSW
Title
Owner
Phone
(406) 581-5830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X BBH-LCSW-19038 MT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

260 SW Madison Ave Ste 119-1
Corvallis, OR 97333-4798

Mailing address

PO Box 1441
Philomath, OR 97370-1441
Phone (406) 581-5830

National Provider Directory

National Provider Directory

Locations

601 Nikles Dr
Ste 2H
Bozeman, MT 59715
Phone (406) 548-4675

260 SW Madison Ave
Ste 1191
Corvallis, OR 97333
Phone (406) 581-5830

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1972022903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973701441",
            "telephone_number": "406-581-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 119-1",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334798",
            "telephone_number": "406-581-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENWEL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "WELTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-581-5830",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-19038",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.