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BUIRGE SULLIVAN JONES QMHP
NPI 1619632791
Counselor - Mental Health in Roseburg, OR

Active since November 03, 2021PECOS Enrolled
548 SE JACKSON ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Buirge Sullivan Jones Qmhp NPPES

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

BUIRGE SULLIVAN JONES QMHP (NPI 1619632791) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619632791
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBUIRGE SULLIVAN JONESCredential: QMHP
Location Address548 SE JACKSON STRoseburg, OR 97470-4983
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 440-3532
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1619632791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
548 SE JACKSON ST, Roseburg, OR 97470
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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., Providence Health Plan 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)

Buirge Sullivan Jones Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062978273
PECOS Enrollment IDI20260728004993
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 Buirge Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Second Wind Mental Health Clinic
7.4 mi
Mental Health (Including Community Mental Health Center)
11 SW BRANTLEY DRIVE
Winston, OR 97496
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1679957708 (541) 679-0366

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

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.

AMANDA O'NEAL
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
STEVEN COLLINS MA, LPC
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
ASHLEY ELIZABETH MARTIN
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
ALLEN SJOGREN
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MRS. MAE BALDWIN STRACNER CAADAC II CADC II
Counselor (Addiction (Substance Use Disorder))
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MATTHEW JAMES SAVARD
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
RACHELLE ELLERY M.S
Marriage & Family Therapist
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
LISA BRAND
Registered Nurse
548 SE JACKSON ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691

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 Buirge Jones's NPI number?

The NPI number for Buirge Jones is 1619632791. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Buirge Jones located?

Buirge Jones practices at 548 SE Jackson St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Buirge Jones's specialty?

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

Is Buirge Jones enrolled in Medicare?

Yes. Buirge Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Buirge Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Buirge Jones reassigns Medicare benefits to Second Wind Mental Health Clinic (Winston, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Buirge Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Buirge Jones accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Buirge Jones 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.

When was this NPI record last updated?

The NPPES record for Buirge Jones was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.