Jessica Jolene Patricia Izsak
Counselor, Professional in Eugene, OR. Individual provider (NPI-1).
NPI number1932892007
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1932892007
- Entity type
- Individual (NPI-1)
- Name
- Jessica Jolene Patricia Izsak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2023
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
66 Club Rd Ste 350Eugene, OR 97401-2599
Phone 283-431-7541
Mailing address
766 Tyson LnEugene, OR 97404-3559
Phone 541-517-2464
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