JENNIFER M HENDERSON (NPI# 1962675249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962675249 |
| Entity Type | Individual |
| Full Name | JENNIFER M HENDERSON |
| Other Name | JENNIFER M JAHNKE |
| Credential | MS, LPC |
| Practice Address |
328 S Central Ave Ste 210 Medford OR 97501-7274 |
| Mailing Address |
Po Box 8097 Medford OR 97501-0997 |
| Practice Telephone | 5418219559 |
| Mailing Telephone | 5418219559 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2672 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437537891 | Jennifer Henderson | Social Worker | 1086 Brandon Ave, Simi Valley, CA 93065-4974 | 2015-05-18 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1134479272 | Jennifer A Henderson | Nurse Practitioner | 146 Passion Play Road, Eureka Springs, AR 72632 | 2012-09-17 |
| 1740597418 | Jennifer Henderson | Doula | 5680 Boston Blvd, White Lake, MI 48383-4112 | 2010-09-01 |
| 1104079219 | Jennifer Jean Henderson | Specialist | 341 Winslow Blvd, Winslow, AR 72959 | 2008-11-03 |
| 1861594095 | Jennifer Beth Henderson | Counselor | 2235 S 10th Ave, Broadview, IL 60155-4027 | 2006-09-01 |
| 1316557275 | Jennifer Rae Henderson | Speech-Language Pathologist | 606 S Sycamore St, Blue Hill, NE 68930-3535 | 2020-08-05 |
| 1770102444 | Jennifer Hartwell Henderson | Speech-Language Pathologist | 1535 Vann Dr, Jackson, TN 38305-2095 | 2020-04-13 |
| 1437781838 | Jennifer Lynn Henderson | Counselor | 9 Harding Hwy, Elmer, NJ 08318-4401 | 2020-02-04 |
| 1376194738 | Jennifer Ann Henderson | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| Street Address |
328 S CENTRAL AVE STE 210 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-7274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
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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.