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MS. CAROLYN ANN HENNESSEY M.A., LMFT
NPI 1003048141
Marriage & Family Therapist in Medford, OR

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment
201 W MAIN ST STE 4E, MEDFORD, OR 97501(541) 281-9026 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carolyn Ann Hennessey M.a., Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLYN ANN HENNESSEY M.A., LMFT (NPI 1003048141) is an individual marriage & family therapist in Medford, Oregon, licensed in Oregon (T1879) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1003048141
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. CAROLYN ANN HENNESSEYCredential: M.A., LMFT
Location Address201 W MAIN ST STE 4EMedford, OR 97501-2744
Mailing Address1832 Earle StKlamath Falls, OR 97601-2222 · (541) 281-3738
Phone(541) 281-9026
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 21, 2009
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1003048141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · T1879
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
201 W MAIN ST STE 4E, Medford, OR 97501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Carolyn Ann Hennessey M.a., Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375994783
PECOS Enrollment IDI20240708000435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELEE MAXWELL
Counselor
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 238-5181
JOMAYRA BERMUDEZ OTERO
Student in an Organized Health Care Education/Training Program
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 281-9026
BROOKE EBERLE
Social Worker
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 727-5312
MAKAYLEE MEAD BS, MFT INTERN
Marriage & Family Therapist
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 281-9026
RUTH NELSON-MOORE QMHP
Counselor (Mental Health)
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 281-9026
JENNIFER MARIE HARLAN
Case Manager/Care Coordinator
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 821-5157
STEPHEN PATTON
Counselor (Mental Health)
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 283-5468
ROCHELLE HOPPER
Counselor (Mental Health)
201 W MAIN ST STE 4E
MEDFORD, OR 97501
Jackson County (541) 281-9026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Hennessey's NPI number?

The NPI number for Carolyn Hennessey is 1003048141. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Carolyn Hennessey located?

Carolyn Hennessey practices at 201 W Main St Ste 4E, Medford, OR 97501. The listed phone number is (541) 281-9026.

What is Carolyn Hennessey's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carolyn Hennessey enrolled in Medicare?

Yes. Carolyn Hennessey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolyn Hennessey accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Carolyn Hennessey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carolyn Hennessey affiliated with any hospitals?

According to CMS data, Carolyn Hennessey is affiliated with Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Carolyn Hennessey was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.