PEACE IN MIND COUNSELING (NPI# 1407493513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407493513 |
Entity Type | Organization |
Organization Name | PEACE IN MIND COUNSELING |
Practice Address |
1040 Crater Lake Ave Ste D Medford OR 97504-6295 |
Mailing Address |
Po Box 4752 Medford OR 97501-0197 |
Practice Telephone | 5419511098 |
Practice Fax Number | 8004331396 |
Mailing Telephone | 5415008655 |
Mailing Fax Number | 8004331396 |
Enumeration Date | 2019-12-08 |
Last Update Date | 2019-12-08 |
Authorized Official Name | KELLY RAMIREZ (BILLING & CREDENTIALING MANAGER) |
Authorized Official Telephone | 5415008655 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | PEACE IN MIND COUNSELING & PROFESSIONAL DEVELOPMENT, LLC | 1280 Timberline Terrace, Ashland, OR 97520 |
Street Address |
1040 CRATER LAKE AVE STE D |
City | MEDFORD |
State | OR |
Zip Code | 97504-6295 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982884912 | Raymond Dirk Shumway | Social Worker | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2007-11-07 |
1992339816 | Travis Scott Burch | Counselor | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2020-02-29 |
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 Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
1255835104 | Columbiacare Services | Clinic/Center | 850 Swing Ln, Medford, OR 97501-1790 | 2018-03-23 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1649820762 | Allison Epstein, Ma, Lpc, LLC | Clinic/Center | 520 Stokes Rd Ste A10, Medford, NJ 08055-2904 | 2019-09-19 |
1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
1992248009 | Columbiacare Services | Clinic/Center | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2016-11-21 |
1376095836 | County of Jackson | Clinic/Center | 140 S Holly St, Medford, OR 97501-3113 | 2016-11-01 |
1861942096 | Columbiacare Services Inc | Clinic/Center | 201 W 6th St, Medford, OR 97501-2708 | 2016-10-12 |
1760751622 | Twin Oaks Community Services, Inc | Clinic/Center | 85 Union St, Medford, NJ 08055-2432 | 2011-12-22 |
1245432509 | Community Works, Inc. | Clinic/Center | 201 W Main St, #3d, Medford, OR 97501-2744 | 2007-05-31 |
Find all providers in MEDFORD |
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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.