JENNIFER REAVIS (NPI# 1851845630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851845630 |
| Entity Type | Individual |
| Full Name | JENNIFER REAVIS |
| Practice Address |
182 Sw Academy St Ste 333 Dallas OR 97338-1996 |
| Mailing Address |
1195 City View St Ste B Eugene OR 97402-3325 |
| Practice Telephone | 5036239289 |
| Mailing Telephone | 5413441121 |
| Mailing Fax Number | 5413444780 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1195 City View St Ste B, Eugene, OR 974023325 | 5413441121 |
| Street Address |
182 SW ACADEMY ST STE 333 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932228343 | Darrell C Burton II | Counselor | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2007-03-28 |
| 1043791270 | Abigail Susanne Demchak | Counselor | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2018-08-25 |
| 1548787351 | Jamie Hall | Case Manager/Care Coordinator | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2017-08-23 |
| 1023531126 | Kirsten Emily Teixeira | Registered Nurse | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2017-07-20 |
| 1487101283 | David Proffitt | Counselor | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2016-09-09 |
| 1548613649 | Allyson Howarth | Nurse Practitioner | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2016-07-13 |
| 1679943237 | Jennifer Arel | Counselor | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2015-09-25 |
| 1780917146 | Jennifer Leonard | Marriage & Family Therapist | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2009-09-16 |
| 1699898544 | Leah Mangis | Social Worker | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2007-04-07 |
| 1447373386 | Douglas Akin | Counselor | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2007-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
| 1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
| 1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
| 1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
| 1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
| 1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
| 1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
| 1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
| Find all providers in DALLAS | ||||
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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.