PEACE IN MIND COUNSELING


Address: 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295
Phone: 5419511098

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).

Provider Overview

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

Taxonomy

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

Other Data Sources

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

Office Location

Street Address 1040 CRATER LAKE AVE STE D
City MEDFORD
State OR
Zip Code 97504-6295

Providers in the same location

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

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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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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