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Jesse Michael Nussbaum , BA

Counselor β€’ Grants Pass, OR

Active NPI 1780950691 Individual Practitioner Male Practitioner
Practice location in NPPES

1750 Nebraska Ave Bldg B
Grants Pass, OR 975275700

Call 5414763302 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1750 Nebraska Ave Bldg B

Grants Pass, OR 975275700

Telephone 5414763302
Organization at the Same NPPES Address or Phone
Kairos Facility NPI 1144651415

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grants Pass, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grants Pass and Oregon

95 active clinicians are listed under Counselor with a practice address in Grants Pass, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grants Pass

0% of these 95 clinicians have the CMS telehealth indicator.

0% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

715 Sw Ramsey Ave

Grants Pass, OR 975275500

Phone: 5414763302

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Business Mailing Address March 24, 2018

Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5419564943)

πŸ“
Updated Practice Location February 22, 2018

Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5414763302)

πŸ“
Updated Business Mailing Address February 22, 2018

Registered at 1750 NEBRASKA AVE BLDG B, GRANTS PASS, OR 975275700 (Tel: 5414763302)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Counselor

βœ…
NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2018

Registered at 1750 NEBRASKA AVE BLDG B, GRANTS PASS, OR 975275700 (Tel: 5414763302)

πŸ“
Updated Business Mailing Address February 13, 2018

Registered at 1750 NEBRASKA AVE BLDG B, GRANTS PASS, OR 975275700 (Tel: 5414763302)

πŸ‘€
Provider Name / Credentials Updated February 13, 2018

Recorded as JESSE NUSSBAUM, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Counselor

βœ…
NPI Profile Active March 25, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2012

Registered at 1836 FREMONT ST, ASHLAND, OR 975202537 (Tel: 5414825792)

πŸ“
Business Mailing Address (Initial Record) March 25, 2012

Registered at 1836 FREMONT ST, ASHLAND, OR 975202537 (Tel: 5414825792)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2012

Recorded as JESSE NUSSBAUM, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2012

Counselor

🟒
Initial NPI Registration & Enumeration March 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780950691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2012
Last Update: March 24, 2018
Sole Proprietor: No

Mailing Address

715 Sw Ramsey Ave

Grants Pass, OR 975275500

Phone: 5419564943

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.