Jeanne A. Bisson, M.A. LMFT

Individual provider Active NPI Marriage & Family Therapist · Brookings, OR

NPI 1972634673 · NPPES record last updated Sep 28, 2022

Key facts

NPI
1972634673
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
625 Spruce St #7666
Brookings, OR 97415
Phone
(541) 412-0700
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Clinical Psychology, LLC Current
since Sep 29, 2019
Accepting new patients

Locations

603 Hemlock St
Ste 2C2
Brookings, OR 97415

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

625 Spruce St #7666
Brookings, OR 97415

Mailing address

625 Spruce St #7666
Brookings, OR 97415-3320
Phone (541) 412-0700

Other practice location 1

711 Barnes Ave
LA Junta, CO 81050-2138
Phone (719) 384-5446 ext. 328

Other names

  • Jeanne Bisson Former name

Other providers in Brookings, OR

All providers in Brookings, OR · Marriage & Family Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.