KATRINA JACOBS (NPI# 1790303600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790303600 |
Entity Type | Individual |
Full Name | KATRINA JACOBS |
Credential | QMHA |
Practice Address |
1900 Ne Highway 99w Ste K Mcminnville OR 97128-2757 |
Mailing Address |
Po Box 133 Mcminnville OR 97128-0133 |
Practice Telephone | 5037146306 |
Mailing Telephone | 5037146306 |
Enumeration Date | 2020-07-07 |
Last Update Date | 2020-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
N | 174400000X | Specialist | Other Service Providers | ||
N | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers | ||
Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 251V00000X | Voluntary or Charitable | Agencies | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 174H00000X | Health Educator | Other Service Providers |
Street Address |
1900 NE HIGHWAY 99W STE K |
City | MCMINNVILLE |
State | OR |
Zip Code | 97128-2757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427692623 | Roxanne Franklin Wilson | Nutritionist | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2019-10-30 |
1922631787 | Kara Sump | Registered Nurse | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2020-02-19 |
1033753231 | Fifth Corner Academy | Counselor | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2019-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
Find all providers in zip 97128 |
Taxonomy Code | 225C00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Counselor |
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245732544 | Walter Irving Chase | Rehabilitation Counselor | 3311 Ne Martin Luther King Blvd, Portland, OR 97212-2086 | 2018-03-02 |
1306297148 | Rhonda Schoenborn | Rehabilitation Counselor | 13229 Sw 64th Ave, Portland, OR 97219-8051 | 2016-06-22 |
1063744480 | Theresa Ann Hill | Rehabilitation Counselor | 283 Se Fowler St Ste 2, Roseburg, OR 97470-3309 | 2010-02-10 |
1720644461 | Katrina Reale | Rehabilitation Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-05-17 |
1720557218 | Grey Wiltshire | Rehabilitation Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2018-11-14 |
1265664528 | Sean Keith Cummins | Rehabilitation Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2009-08-19 |
1356445340 | Frank Scopacasa | Rehabilitation Counselor | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
City | MCMINNVILLE |
Zip Code | 97128 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.