Healthcare Provider Details

I. General information

NPI: 1952221038
Provider Name (Legal Business Name): JEN NISLEY COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NE JOHN OLSEN AVE STE 200
HILLSBORO OR
97124-5817
US

IV. Provider business mailing address

3400 NE JOHN OLSEN AVE STE 200
HILLSBORO OR
97124-5817
US

V. Phone/Fax

Practice location:
  • Phone: 503-735-5265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER NISLEY
Title or Position: OWNER
Credential: LMFT
Phone: 503-735-5265