JCMH - HAZEL CENTER (NPI# 1144596115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144596115 |
| Entity Type | Organization |
| Organization Name | JCMH - HAZEL CENTER |
| Practice Address |
1911 Hazel Ave Medford OR 97501-1630 |
| Practice Telephone | 5417343950 |
| Practice Fax Number | 5417343960 |
| Mailing Telephone | 5417343950 |
| Mailing Fax Number | 5417343960 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | GORDON A NORMAN (PROGRAM MANAGER) |
| Authorized Official Telephone | 5417373952 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 514136 | OR | Agencies |
| Street Address |
1911 HAZEL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306912324 | Benjamin Matthew Bryan | Social Worker | 1911 Hazel Ave, Medford, OR 97501-1630 | 2006-11-28 |
| 1245842277 | John Trent Stoy | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2020-08-20 |
| 1760020432 | Angus Matthew Gray | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-12-12 |
| 1093365413 | Giovanna Peitz | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-09-17 |
| 1417507427 | Tanya Lore Weeks | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-09-12 |
| 1710530472 | Norman Treminio Castillo Iv | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2019-07-22 |
| 1972085959 | Lauren Tuosto | Counselor | 1911 Hazel Ave, Medford, OR 97501-1630 | 2018-09-05 |
| 1508313503 | Kathleen Borden | Counselor | 1911 Hazel Ave, Medford, OR 97501 | 2016-09-07 |
| 1548511694 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2012-09-28 |
| 1861762809 | Ian Joseph Moore | Specialist | 1911 Hazel Ave, Medford, OR 97501 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091569 | Redemption Ridge | Case Management | 503 Airport Rd Ste 103, Medford, OR 97504-4159 | 2016-05-18 |
| 1871801316 | Professional Home Nursing Services | Case Management | 42 Wareham Street, Medford, MA 02155-6222 | 2010-09-17 |
| 1821312141 | Carrie Bisignani | Case Management | 178 Country Rd, Medford, NY 11763-1636 | 2010-03-15 |
| 1306081542 | Jackson County Oregon | Case Management | 609 W 10th St, Medford, OR 97501-3106 | 2008-12-02 |
| 1689286585 | Ny Speaks | Case Management | 46 Syracuse Ave, Medford, NY 11763-3621 | 2020-08-20 |
| 1346883188 | Maslow Project | Case Management | 500 Monroe St, Medford, OR 97501 | 2019-10-24 |
| 1689144750 | Kirby Douglas Rider | Case Management | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-11-30 |
| 1043751597 | Options for Southern Oregon | Case Management | 3501 Excel Dr, Ste 225, Medford, OR 97504-8067 | 2017-03-16 |
| 1750826616 | Columbiacare Services | Case Management | 3587 Heathrow Way, Medford, OR 97504-4004 | 2017-01-03 |
| 1467700070 | The Counseling Center for Child Development Inc | Case Management | 10 Cabot Rd, 101, Medford, MA 02155-5177 | 2012-08-29 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on JCMH - HAZEL CENTER.
| 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.