JACALYN LEE HEINZLE QMHA
NPI 1124692595
Counselor - Mental Health in Grants Pass, OR

Active since May 19, 2021
310 BUSHNELL WAY, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacalyn Lee Heinzle Qmha NPPES

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

JACALYN LEE HEINZLE QMHA (NPI 1124692595) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1124692595
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACALYN LEE HEINZLECredential: QMHA
Location Address310 BUSHNELL WAYGrants Pass, OR 97527-9103
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Sole ProprietorNo
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
NPI 1124692595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
310 BUSHNELL WAY, Grants Pass, OR 97527

Other Providers at the Same Location NPPES 2

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

Community Based Residential Treatment Facility, Mental Illness
310 BUSHNELL WAY
GRANTS PASS, OR 97527
Counselor (Mental Health)
310 BUSHNELL WAY
GRANTS PASS, OR 97527

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 Jacalyn Heinzle's NPI number?

The NPI number for Jacalyn Heinzle is 1124692595. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Jacalyn Heinzle located?

Jacalyn Heinzle practices at 310 Bushnell Way, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Jacalyn Heinzle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacalyn Heinzle was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.