Provider Demographics
NPI:1467121509
Name:BIG PICTURE COUNSELING
Entity Type:Organization
Organization Name:BIG PICTURE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KOSEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-490-2963
Mailing Address - Street 1:5175 SW HILLVIEW AVE APT B
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-3977
Mailing Address - Country:US
Mailing Address - Phone:520-490-2963
Mailing Address - Fax:
Practice Address - Street 1:5175 SW HILLVIEW AVE APT B
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-3977
Practice Address - Country:US
Practice Address - Phone:541-908-5983
Practice Address - Fax:833-487-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-11
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417209636OtherSINGLE NPI