Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396101838 Individual Practitioner Male Practitioner

Jon Luckenbaugh

Counselor • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Jon Luckenbaugh is a registered healthcare professional specializing in Counselor in Vancouver, WA. Practice services are available at 7415 NE 94TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7415 Ne 94th Ave

Vancouver, WA 986623859

Telephone 3602536019
Fax 3602532698

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
679 Specialists

Practicing in Vancouver, WA (11556 Statewide)

Telehealth Adoption Rate
0.3% 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

State License WA CG60517550

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.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Kate Scheideman

Counselor - Mental Health

NPI 1023495140
Robin Mooney , RN

Registered Nurse

NPI 1023551447

Registered Nurse

Tomoko Knudtson

Registered Nurse

NPI 1043609357
Lydia Loyd , RN

Registered Nurse

NPI 1053843037

Registered Nurse

Robert Warren

Counselor - Mental Health

NPI 1063941870
Mckenna Hendricks

Counselor - Mental Health

NPI 1114499100

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2016

Registered at 7415 NE 94TH AVE, VANCOUVER, WA 986623859 (Tel: 3602536019)

📍
Updated Business Mailing Address January 14, 2016

Registered at 3921 E FOURTH PLAIN BLVD UNIT 12, VANCOUVER, WA 986615797 (Tel: 3607732309)

👤
Provider Name / Credentials Updated January 14, 2016

Recorded as JON LUCKENBAUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Counselor (License #CG60517550 in WA)

🟢
Initial NPI Registration & Enumeration January 14, 2016

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: 1396101838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2016
Last Update: January 14, 2016
Sole Proprietor: Yes

Mailing Address

3921 E Fourth Plain Blvd Unit 12

Vancouver, WA 986615797

Phone: 3607732309

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.