Jennifer Eileen Crackenberg, LPC, CADCI in Mcminnville, OR

Jennifer Eileen Crackenberg, LPC, CADCI is a medicare enrolled "Counselor - Professional" provider in Mcminnville, Oregon. Her current practice location is 617 Ne Davis St, Mcminnville, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 472-4020.

Jennifer Eileen Crackenberg is licensed to practice in Oregon (license number C3769) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427381573.

Contact Information

	Jennifer Eileen Crackenberg, LPC, CADCI
	617 Ne Davis St, Mcminnville, OR 97128-4716
	(503) 472-4020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Eileen Crackenberg
Gender	Female
Speciality	Counselor - Professional
Location	617 Ne Davis St, Mcminnville, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427381573
Provider Enumeration Date: 09/08/2009
Last Update Date: 05/21/2015

Medicare PECOS Information:

PECOS PAC ID: 6406387182
Enrollment ID: I20241004003007

Medical Identifiers

Medical identifiers for Jennifer Eileen Crackenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427381573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	C3769 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Eileen Crackenberg allows following entities to bill medicare on her behalf.

Entity Name	Whalesong Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619581931 PECOS PAC ID: 4082152996 Enrollment ID: O20240809002122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Eileen Crackenberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Eileen Crackenberg, LPC, CADCI 617 Ne Davis St, Mcminnville, OR 97128-4716 Ph: (503) 472-4020	Jennifer Eileen Crackenberg, LPC, CADCI 617 Ne Davis St, Mcminnville, OR 97128-4716 Ph: (503) 472-4020

Reviews and Comments

Counselor in Mcminnville, OR

Susie Margaret Alin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Ne 5th St, Mcminnville, OR 97128 Phone: 971-237-2324
Maya K Benham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Ne 2nd St, Mcminnville, OR 97128 Phone: 503-472-2240
Traci Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523
Paul Studebaker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523
Rene Delgado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-434-9846
Valeria Atanacio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523
Estenio Eliezer Sede Eduardo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Ne Evans St Ste A, Mcminnville, OR 97128 Phone: 503-472-4020

Jennifer Eileen Crackenberg, LPC, CADCI - Medicare Counselor in Mcminnville, OR