Active NPIIndividual providerSole proprietor

Jenna Abernathy, MA, LPC INTERN, LMT

Counselor, Mental Health in Portland, Oregon

NPI Number1407300205
Practice location
3537 N Williams Ave, Portland, OR 97227
Fax
—
Last updated
December 4, 2019

Jenna Abernathy, MA, LPC INTERN, LMT is a Counselor, Mental Health based in Portland, OR. Jenna Abernathy, MA, LPC INTERN, LMT holds the professional credentials of MA, LPC INTERN, LMT. The NPI number for Jenna Abernathy, MA, LPC INTERN, LMT is 1407300205 and holds license No. 10987 (OR). The current practice location address is 3537 N Williams Ave, Portland, OR 97227 and the office can be reached by phone at 503-309-8622. The NPI was assigned on August 9, 2016 and the record was last updated in NPPES on December 4, 2019.

●Provider Profile Details

NPI Number
1407300205
Provider Name
Jenna Abernathy
Credential
MA, LPC INTERN, LMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
August 9, 2016
Last Update Date
December 4, 2019
NPI Status
Active

◉Business Practice Location Address

Address
3537 N Williams Ave
Portland, OR 97227
State
Oregon
ZIP
97227
Country
US
Phone Number
503-309-8622

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✉Business Mailing Address

Address
4545 NE Mallory Ave
Portland, OR 97211-3330
City
Portland
State
OR
ZIP
97211-3330
Phone Number
503-309-8622

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XNo10987OR
Counselor, Mental Health101YM0800XYes—OR

#Other Provider Identifiers

No legacy or other 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 Jenna Abernathy, MA, LPC INTERN, LMT?

The NPI number of Jenna Abernathy, MA, LPC INTERN, LMT is 1407300205. It was assigned on August 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Jenna Abernathy, MA, LPC INTERN, LMT?

Jenna Abernathy, MA, LPC INTERN, LMT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. 10987 (OR).

Where does Jenna Abernathy, MA, LPC INTERN, LMT practice?

The practice location is 3537 N Williams Ave, Portland, OR 97227. The office can be reached at 503-309-8622 (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 1407300205 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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