ROGUE THERAPY


Address: 328 S Central Ave Ste 213, Medford, OR 97501-7274
Phone: 5412721664

ROGUE THERAPY (NPI# 1922607464) 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) 1922607464
Entity Type Organization
Organization Name ROGUE THERAPY
Practice Address 328 S Central Ave Ste 213
Medford
OR 97501-7274
Mailing Address Po Box 4752
Medford
OR 97501-0197
Practice Telephone 5412721664
Practice Fax Number 8004331396
Mailing Telephone 5415008655
Mailing Fax Number 8004331396
Enumeration Date 2020-10-24
Last Update Date 2020-10-24
Authorized Official Name LISA JAMISON (OWNER)
Authorized Official Telephone 5417271664
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ROGUE THERAPY, LLC 328 South Central Avenue, Medford, OR 97501

Office Location

Street Address 328 S CENTRAL AVE STE 213
City MEDFORD
State OR
Zip Code 97501-7274

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1730373903 Living Water Counseling Community/Behavioral Health 1332 Mt Pitt St, Medford, OR 97501-3214 2007-08-30
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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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