Provider Demographics
NPI:1558469700
Name:THAYER-ENGLE, JANELLE R (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:R
Last Name:THAYER-ENGLE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:R
Other - Last Name:THAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMPC
Mailing Address - Street 1:JANELLE ENGLE MA LPC .
Mailing Address - Street 2:2740 CRATER LANE
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-1038
Mailing Address - Country:US
Mailing Address - Phone:503-899-7025
Mailing Address - Fax:503-961-9300
Practice Address - Street 1:JANELLE ENGLE MA LPC .
Practice Address - Street 2:2740 CRATER LANE
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-1038
Practice Address - Country:US
Practice Address - Phone:503-899-7025
Practice Address - Fax:503-961-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA137159OtherMANAGED HEALTH NETWORK
WA38-3812830OtherTAX ID
ORC3557OtherSTATE LICENSE