Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780950691 Individual Practitioner Male Practitioner

Jesse Michael Nussbaum , BA

Counselor • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Jesse Nussbaum, BA is a registered healthcare professional specializing in Counselor in Grants Pass, OR. Practice services are available at 1750 NEBRASKA AVE BLDG B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1750 Nebraska Ave Bldg B

Grants Pass, OR 975275700

Telephone 5414763302
Associated Practice Facility / Clinic
🏢 Kairos Facility NPI 1144651415

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
100 Specialists

Practicing in Grants Pass, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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

Definition to come...

Secondary Practice Locations

715 Sw Ramsey Ave

Grants Pass, OR 975275500

Phone: 5414763302

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003200064

Registered Nurse, Bachelor of Science in Nursing

Taylor Way

Counselor

NPI 1003269390
Ross Johnson

Counselor

NPI 1023384021
NPI 1023469459
Scott Williston , MS, QMHP

Counselor - Professional

NPI 1023566858

Master of Science, Qualified Mental Health Professional

Patrick Bartley

Counselor - Mental Health

NPI 1053788679

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address March 24, 2018

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

📍
Updated Practice Location February 22, 2018

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

📍
Updated Business Mailing Address February 22, 2018

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

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

Counselor

NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2018

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

📍
Updated Business Mailing Address February 13, 2018

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

👤
Provider Name / Credentials Updated February 13, 2018

Recorded as JESSE NUSSBAUM, BA

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

Counselor

NPI Profile Active March 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2012

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

📍
Updated Business Mailing Address March 25, 2012

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

👤
Provider Name / Credentials Updated March 25, 2012

Recorded as JESSE NUSSBAUM, BA

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.