Individual provider Active NPI

Jean Thompson Vanlue, M.A., LPC, LMFT

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1992924781
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0626 Issued in OR
Practice address
528 Cottage St NE Ste 300
Salem, OR 97301-3788
Phone
(503) 316-9130
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2207 OR
Marriage & Family Therapist 106H00000X T0626 OR Primary

Addresses

Primary practice location

528 Cottage St NE Ste 300
Salem, OR 97301-3788

Mailing address

528 Cottage St NE Ste 300
Salem, OR 97301-3788
Phone (503) 316-9130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C2207ORMDProfessional Counselor
T0626ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Thompson Vanlue LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

528 Cottage St NE
Ste 300
Salem, OR 97301
Phone (503) 316-9130

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1992924781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 300",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013788",
            "telephone_number": "503-316-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 300",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013788",
            "telephone_number": "503-316-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLUE",
        "first_name": "JEAN",
        "middle_name": "THOMPSON",
        "credential": "M.A., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2207",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.