Jacqualyn R Andrews, LPC
Counselor, Mental Health in Cottage Grove, Oregon
1801407259- Practice location
- 210 S 5TH St, Cottage Grove, OR 97424-2105
- Phone
- 541-255-1411
- Fax
- 541-255-1412
- Last updated
- June 5, 2023
Jacqualyn R Andrews, LPC is a Counselor, Mental Health based in Cottage Grove, OR. Jacqualyn R Andrews, LPC holds the professional credentials of LPC. The NPI number for Jacqualyn R Andrews, LPC is 1801407259 and holds license No. C5956 (OR). The current practice location address is 210 S 5TH St, Cottage Grove, OR 97424-2105 and the office can be reached by phone at 541-255-1411 and by fax at 541-255-1412. The NPI was assigned on August 10, 2020 and the record was last updated in NPPES on June 5, 2023.
●Provider Profile Details
- NPI Number
- 1801407259
- Provider Name
- Jacqualyn Rae Andrews
- Credential
- LPC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- August 10, 2020
- Last Update Date
- June 5, 2023
- Certification Date
- June 5, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 210 S 5TH St
Cottage Grove, OR 97424-2105 - City
- Cottage Grove
- State
- Oregon
- ZIP
- 97424-2105
- Country
- US
- Phone Number
- 541-255-1411
- Fax Number
- 541-255-1412
✉Business Mailing Address
- Address
- 1711 Willamette Street, Suite 301, #140
Eugene, OR 97401-4593 - City
- Eugene
- State
- OR
- ZIP
- 97401-4593
- Phone Number
- 541-255-1411
- Fax Number
- 541-255-1412
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor | 101Y00000X | No | C5956 | OR |
| Counselor, Mental Health | 101YM0800X | Yes | C5956 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Cottage Grove →?Frequently Asked Questions
What is the NPI number of Jacqualyn R Andrews, LPC?
The NPI number of Jacqualyn R Andrews, LPC is 1801407259. It was assigned on August 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Jacqualyn R Andrews, LPC?
Jacqualyn R Andrews, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. C5956 (OR).
Where does Jacqualyn R Andrews, LPC practice?
The practice location is 210 S 5TH St, Cottage Grove, OR 97424-2105. The office can be reached at 541-255-1411 (phone) or 541-255-1412 (fax).
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 1801407259 directly on the NPPES registry website at npiregistry.cms.hhs.gov.