BLANDINE R. LEAVITT (NPI# 1528028974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528028974 |
| Entity Type | Individual |
| Full Name | BLANDINE R. LEAVITT |
| Credential | LMFT |
| Practice Address |
1016 Court St Medford OR 97501-5728 |
| Mailing Address |
Po Box 8120 Medford OR 97504-0120 |
| Practice Telephone | 5417767601 |
| Practice Fax Number | 5417763007 |
| Mailing Telephone | 5417767601 |
| Mailing Fax Number | 5417763007 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0341 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1016 COURT ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137312 | Counseling Northwest | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2006-01-02 |
| 1285080960 | Wise Caring PC | Community/Behavioral Health | 1016 Court St, Medford, OR 97501-5728 | 2016-05-11 |
| 1154691533 | Katherine Warner Licensed Psychologist | Clinical Neuropsychologist | 1016 Court St, Medford, OR 97501-5728 | 2012-01-03 |
| 1730335894 | Katherine Warner | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2008-08-08 |
| 1598935827 | Judith Ann Voruz | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2008-03-03 |
| 1780897678 | Maureen Grace Hicks | Psychologist | 1016 Court St, Medford, OR 97501 | 2007-05-07 |
| 1871555672 | Richard Jensen | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2006-04-05 |
| 1578525812 | Marian Gunderson | Social Worker | 1016 Court St, Medford, OR 97501-5728 | 2006-04-03 |
| 1013978907 | Toni Richmond | Marriage & Family Therapist | 1016 Court St, Medford, OR 97501-5728 | 2006-03-30 |
| 1689652430 | Barbara D. Knox | Social Worker | 1016 Court St, Medford, OR 97501-5728 | 2006-01-03 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114223302 | Marika P Mooyman | Marriage & Family Therapist | 1005 E Main St Bldg B, Medford, OR 97504-7448 | 2011-02-04 |
| 1891099842 | John Joseph Johnson | Marriage & Family Therapist | 107 E Main St Ste 29, Medford, OR 97501 | 2011-01-05 |
| 1326274192 | Tara Michelle Hurley | Marriage & Family Therapist | 11 Sagamore Ave, Medford, MA 02155-2107 | 2009-06-06 |
| 1013143403 | Dwight Henry Horch | Marriage & Family Therapist | 9 Holly Dr, Medford, NJ 08055-8810 | 2009-05-31 |
| 1336326826 | Patricia M. Brady-ciarcia | Marriage & Family Therapist | 16 Bradlee Rd, Third Floor, Medford, MA 02155-3111 | 2008-01-28 |
| 1417168121 | Gabriel Joel Mccoy | Marriage & Family Therapist | 1316 W Main St, Medford, OR 97501-2937 | 2007-05-24 |
| 1780894840 | Wellspring Counseling Center of Southern Oregon, LLC | Marriage & Family Therapist | 18 Portland Ave., Medford, OR 97504-7309 | 2007-05-23 |
| 1831309301 | James Sidney Stumbo | Marriage & Family Therapist | 3550 National Dr, Medford, OR 97504-4148 | 2007-05-23 |
| 1518173640 | Sallyann Roth | Marriage & Family Therapist | 137 Brooks St, Medford, MA 02155-2243 | 2007-05-15 |
| 1356467492 | Nicole Christine Ryan | Marriage & Family Therapist | 328 S Central Ave Ste 205, Medford, OR 97501-7274 | 2007-03-21 |
| 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.