Jeanne A. Bisson, M.A. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

625 Spruce St #7666
Brookings, OR 97415

Phone

(541) 412-0700

NPI assigned

Mar 7, 2007

Last updated

Sep 28, 2022By 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 1

Addresses

Other names 1

• Jeanne Bisson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Costa Clinical Psychology, LLC

  • Clinical Psychologist
  • Brookings, OR
  • NPI 1881144178
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1972634673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SPRUCE ST #7666",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974153320",
            "telephone_number": "541-412-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SPRUCE ST #7666",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-412-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Barnes Ave",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502138",
            "country_code": "US",
            "telephone_number": "719-384-5446 x328",
            "fax_number": "719-384-5672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSON",
        "first_name": "JEANNE",
        "middle_name": "A.",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "BISSON",
            "credential": "JEANNE BISSON-OLMOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hazel Berry
• Better Health Family Medical, LLC
• Raechele Darleen Bird
• Michael Edward Bisgrove, M.D.
• Michelle L Bishop, AU.D.
• Wendy Blymyer, D.C.
• Ronald Dustin Bodman, O.D.
• Shannon Bonde
• Charles Michael Bourland, D.O.
• Ella Rose Bowron

• Marriage & Family Therapist in Brookings, OR
• Providers in Brookings, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.