MILTON TAULBEE MCCUISTION


Address: 1175 E Main St Ste 1c, Medford, OR 97504-7457
Phone: 5417720127

MILTON TAULBEE MCCUISTION (NPI# 1104218122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104218122
Entity Type Individual
Full Name MILTON TAULBEE MCCUISTION
Credential QMHA
Practice Address 1175 E Main St Ste 1c
Medford
OR 97504-7457
Mailing Address 715 Sw Ramsey Ave
Grants Pass
OR 97527-5500
Practice Telephone 5417720127
Practice Fax Number 5417720966
Mailing Telephone (541) 956-4943
Mailing Fax Number 5419563085
Enumeration Date 2015-02-27
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor OR Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
140 S Holly St, Medford, OR 975013113 5417748201 5417747979

Office Location

Street Address 1175 E MAIN ST STE 1C
City MEDFORD
State OR
Zip Code 97504-7457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902094949 Travis C Toll Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2007-10-03
1407337264 Marlon Campos Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2018-08-28
1881108926 Heather Nichole Daw Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-11-28
1982118022 Jeremy Jones Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-11-28
1811409667 Casandra Lynn Anderrson Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-11-02
1821500125 Sarah Hollingworth Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-10-26
1306358783 Anne Lois Dupree Peer Specialist 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-10-25
1881104057 Aubrey Shaw Counselor 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-10-02
1437673688 Lauren Vail Psychologist 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-07-31
1730600867 Wei Tseng Peer Specialist 1175 E Main St Ste 1c, Medford, OR 97504-7457 2017-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1689223901 Holly Hermes Counselor 48 Hawthorne St, Medford, OR 97504-7114 2019-09-09
1417473554 Elysee H. Castor Counselor 5 High St., Suite 101, Medford, MA 02155 2017-08-21
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1336597541 Joanna Lea Ballard Counselor 1175 E Main St Ste C1, Medford, OR 97504-7457 2016-05-27
1386018240 Sarie R Scully Counselor 26 Horseshoe Curv, Medford, NJ 08055-9751 2015-11-16
1992103451 Sean Alexander Mickelson Counselor 358 S Oakdale Ave, Medford, OR 97501-3131 2014-12-16
1134472863 Lynette J Milligan Counselor 142 N Ivy St Ste 2, Medford, OR 97501-2758 2012-10-18
1154687689 Phylicia Mcdonald Counselor 176 Jerome St, Medford, MA 02155-3535 2012-04-10
1215205901 Shelly Hohl Counselor 1000 E Main St Bldg B, Medford, OR 97504-7449 2011-12-08
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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