Active NPIIndividual providerSole proprietor

Jennifer Crocker, LPC

Counselor, Professional in Tigard, Oregon

NPI Number1730548215
Practice location
11650 SW 67TH Ave, Tigard, OR 97223-8589
Fax
—
Last updated
September 7, 2023

Jennifer Crocker is a Counselor, Professional based in Tigard, OR. Jennifer Crocker practices in Tigard, OR and has the professional credentials of LPC. The NPI Number for Jennifer Crocker is 1730548215 and holds a License No. C4884 (OR). The current practice location address for Jennifer Crocker is 11650 SW 67TH Ave, Tigard, OR 97223-8589 and can be reached out via phone at 503-308-9465.

Provider Profile Details

NPI Number
1730548215
Provider Name
Jennifer Crocker
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
11650 SW 67TH Ave, Tigard, OR 97223-8589
Phone Number
503-308-9465
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2016
Last Update Date
September 7, 2023
Certification Date
September 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
11650 SW 67TH Ave
Tigard, OR 97223-8589
City
Tigard
State
Oregon
Zip
97223-8589
Phone Number
503-308-9465
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
11650 SW 67TH Ave
Tigard, OR 97223-8589
City
Tigard
State
OR
Zip
97223-8589
Phone Number
503-308-9465

License Information

License Number
C4884
License State
OR
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Crocker, LPC?

The NPI number of Jennifer Crocker, LPC is 1730548215. It was assigned on February 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Jennifer Crocker, LPC?

Jennifer Crocker, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C4884.

Where does Jennifer Crocker, LPC practice?

The practice location is 11650 SW 67TH Ave, Tigard, OR 97223-8589. The office can be reached at 503-308-9465 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730548215 directly on the NPPES registry website.

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