WILD RIVER COUNSELING AND CONSULTATION, LLC (NPI# 1831723642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831723642 |
Entity Type | Organization |
Organization Name | WILD RIVER COUNSELING AND CONSULTATION, LLC |
Practice Address |
107 E Main St Ste 7 Medford OR 97501-6022 |
Practice Telephone | 5412922093 |
Mailing Telephone | 5412922093 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-10-08 |
Authorized Official Name | MARJORIE GOSLING (OWNER) |
Authorized Official Telephone | 5412922093 |
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 | WILD RIVER COUNSELING AND CONSULTATION, LLC | 33 N Central Ave Ste 408, Medford, OR 97501 |
Street Address |
107 E MAIN ST STE 7 |
City | MEDFORD |
State | OR |
Zip Code | 97501-6022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894856 | Conscious Life Counseling, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-09-04 |
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 | 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 |
---|---|---|---|---|
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 |
1407493513 | Peace In Mind Counseling | Clinic/Center | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2019-12-08 |
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.