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MS. LISA MARIE JENNINGS MSW,QMHP, CSWA, CADC
NPI 1881052876
Counselor - Addiction (Substance Use Disorder) in Winston, OR

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment
11 SW BRANTLEY DR, WINSTON, OR 97496(541) 679-0366(541) 679-4821 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2021, Feb 4, 2016 (2 updates tracked since 2016).

About Ms. Lisa Marie Jennings Msw,qmhp, Cswa, Cadc NPPES

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

MS. LISA MARIE JENNINGS MSW,QMHP, CSWA, CADC (NPI 1881052876) is an individual addiction (substance use disorder) provider in Winston, Oregon, licensed in Oregon (15-02-24) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881052876
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LISA MARIE JENNINGSCredential: MSW,QMHP, CSWA, CADC
Location Address11 SW BRANTLEY DRWinston, OR 97496-4526
Mailing Address11 Sw Brantley DrWinston, OR 97496-4526 · (541) 679-0366 · Fax (541) 679-4821
Phone(541) 679-0366
Fax(541) 679-4821
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 4, 2016
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1881052876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 15-02-24
11 SW BRANTLEY DR, Winston, OR 97496
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Marie Jennings Msw,qmhp, Cswa, Cadc 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 ID5597026351
PECOS Enrollment IDI20180219002682
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 Lisa Jennings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Second Wind Mental Health Clinic
Same address
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 6

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

MR. MICHAEL WAYNE SMITH- FERNANDEZ LCSW
Counselor (Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
FUNCTIONAL MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
PAZELY RACHELLE SPENCER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
MRS. RHEA ANN BANDELIER CNP
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
STACY J NIELSEN, LCSW, LLC
Community/Behavioral Health
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
NICK MARSHALL PCA
Counselor (Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366

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 Lisa Jennings's NPI number?

The NPI number for Lisa Jennings is 1881052876. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Lisa Jennings located?

Lisa Jennings practices at 11 SW Brantley Dr, Winston, OR 97496. The listed phone number is (541) 679-0366.

What is Lisa Jennings's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Lisa Jennings enrolled in Medicare?

Yes. Lisa Jennings 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.

Which organization bills Medicare for Lisa Jennings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jennings 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 Lisa Jennings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Jennings accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lisa Jennings 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 Lisa Jennings was last updated on May 18, 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.