WILD RIVER COUNSELING AND CONSULTATION, LLC


Address: 107 E Main St Ste 7, Medford, OR 97501-6022
Phone: 5412922093

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).

Provider Overview

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

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 WILD RIVER COUNSELING AND CONSULTATION, LLC 33 N Central Ave Ste 408, Medford, OR 97501

Office Location

Street Address 107 E MAIN ST STE 7
City MEDFORD
State OR
Zip Code 97501-6022

Providers in the same location

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

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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
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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
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
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Competitor

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City MEDFORD
Zip Code 97501

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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