PARKPLACE COUNSELING CENTER (NPI# 1780741132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780741132 |
| Entity Type | Organization |
| Organization Name | PARKPLACE COUNSELING CENTER |
| Practice Address |
201 W Main St Suite 3c Medford OR 97501-2744 |
| Practice Telephone | 5412459610 |
| Practice Fax Number | 5412459629 |
| Mailing Telephone | 5412459610 |
| Mailing Fax Number | 5412459629 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARCIA OVERSTREET (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 5412459610 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | C1733 | OR | Agencies |
| Street Address |
201 W MAIN ST SUITE 3C |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048718 | Lauren Ashley Michele Johnson | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2020-03-13 |
| 1730667304 | Holly Anthony | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2018-08-05 |
| 1457850117 | Esther Louise Mortensen | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2018-02-08 |
| 1316458342 | Janna Whittaker | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2017-10-17 |
| 1447791199 | Susan Brown | Behavioral Analyst | 201 W Main St, Medford, OR 97501-2744 | 2017-03-14 |
| 1861937278 | Maria Celeste Fitzgerald | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2016-12-21 |
| 1306396940 | Gwendolyn St Hilaire | Counselor | 201 W Main St, Medford, OR 97501 | 2016-10-06 |
| 1598189953 | Rebecca Striplin | Counselor | 201 W Main St, Ste. 3d, Medford, OR 97501-2744 | 2014-02-05 |
| 1174818256 | Henry Pleasant Hosey | Counselor | 201 W Main St, Medford, OR 97501-2744 | 2011-06-16 |
| 1326240037 | Community Works, Inc. | Clinic/Center | 201 W Main St, #3d, Medford, OR 97501-2744 | 2007-06-04 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
| 1326671082 | Res-care New Jersey, Inc. | Community/Behavioral Health | 268 Hopewell Rd, Medford, NJ 08055-8149 | 2020-02-20 |
| 1346882461 | Catherine Elizabeth Young | Community/Behavioral Health | 46 Park Ln, Medford, NY 11763-1143 | 2019-10-09 |
| 1861927089 | Leslie Rheault, Lpc | Community/Behavioral Health | 2191 Canal St, Medford, OR 97501-4338 | 2017-04-25 |
| 1497280697 | Inspired Wellness LLC | Community/Behavioral Health | 1883 Orangewood Dr, Medford, OR 97504-5727 | 2017-04-25 |
| 1164971354 | Integrative Counseling & Wellness, LLC | Community/Behavioral Health | 328 S Central Ave Ste 203, Medford, OR 97501-7274 | 2016-09-28 |
| 1437504651 | Hearts With A Mission | Community/Behavioral Health | 711 Medford Ctr # 334, Medford, OR 97504-6772 | 2016-04-25 |
| 1932568425 | Wellness Psychology, LLC | Community/Behavioral Health | 3228 Hillcrest Park Dr, Medford, OR 97504-7657 | 2016-02-12 |
| 1164811873 | Alice M. Jannini Counseling Services, LLC | Community/Behavioral Health | 500 Stokes Rd, Suite B-5, Medford, NJ 08055-2920 | 2015-01-19 |
| 1609292069 | Mindie A Medina | Community/Behavioral Health | 1005 E. Main St, Medford, OR 97504 | 2014-03-10 |
| 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.