JENNIE TERESA MACEACHERN
NPI 1104425305
Social Worker - Clinical in Roseburg, OR

Q: What is Jennie Maceachern's NPI number?

The NPI number for Jennie Maceachern is 1104425305. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Q: What is Jennie Maceachern's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Maceachern was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since October 20, 2020PECOS Enrolled

913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 440-1000(541) 440-1000 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 15, 2021, Oct 30, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Jennie Teresa Maceachern NPPES

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

JENNIE TERESA MACEACHERN (NPI 1104425305) is an individual clinical provider in Roseburg, Oregon, licensed in Oregon (L11729) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104425305

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIE TERESA MACEACHERN

Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97471-6523

Mailing Address913 Nw Garden Valley BlvdRoseburg, OR 97471-6523 · (541) 440-1000

Phone(541) 440-1000

Fax(541) 440-1000

Sole ProprietorNo

Enumeration DateOctober 20, 2020

Last NPPES UpdateApril 25, 20244 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1104425305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L11729

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennie Teresa Maceachern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennie Maceachern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roseburg Therapy LLC

1.2 mi

Mental Health

2460 NW TROOST ST
Roseburg, OR 97471

Reassigned Medicare billing, Oregon enrollment
73 clinicians in this Medicare group

NPI 1538665013 (541) 900-4285

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ROSEBURG VAMC

Department of Veterans Affairs (VA) Pharmacy