CARLA LUNDBLADE (NPI# 1972935047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972935047 |
| Entity Type | Individual |
| Full Name | CARLA LUNDBLADE |
| Credential | MS LPC NCC |
| Practice Address |
14 Cottage St Medford OR 97504-7332 |
| Practice Telephone | 5419519517 |
| Practice Fax Number | 5414235470 |
| Mailing Telephone | 5419519517 |
| Mailing Fax Number | 5414235470 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2874 | OR | Behavioral Health & Social Service Providers |
| Street Address |
14 COTTAGE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518013705 | Susan Wrona | Nurse Practitioner | 14 Cottage St, Medford, OR 97504-7332 | 2007-01-28 |
| 1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
| 1508221078 | Linda Bellinson | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-28 |
| 1346615093 | Katherine Cadoux | Counselor | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-07 |
| 1417322231 | Fawn Gonzales Lcsw LLC | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-04 |
| 1417333675 | Sarah Demulder | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-08-10 |
| 1508256272 | Dahna Osmus | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-02-02 |
| 1053730622 | Stacey Guss Lcsw LLC | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2014-04-10 |
| 1164768875 | Elizabeth Sherbow | Counselor | 14 Cottage St, Medford, OR 97504-7332 | 2012-12-27 |
| 1881942498 | Evergreen Counseling & Life Skills, LLC | Community/Behavioral Health | 14 Cottage St, Medford, OR 97504-7332 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978017 | Peaceful Practices Counseling LLC | Counselor | 520 Stokes Rd Ste A5, Medford, NJ 08055-2904 | 2020-06-30 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1861998080 | Deborah Hritz | Counselor | 13 Larsen Park Dr, Medford, NJ 08055-8169 | 2018-04-05 |
| 1396112678 | Sara Marie Martino | Counselor | 19 Ohio Trl, Medford, NJ 08055-8931 | 2015-08-21 |
| 1437568417 | Angela R Ewing | Counselor | 33 N Central Ave Ste 400, Medford, OR 97501-5940 | 2014-08-04 |
| 1609200567 | Professional Psychology Services | Counselor | 1 N Main St Ste 1b, Medford, NJ 08055-2445 | 2013-08-28 |
| 1609172717 | Lisa N Ortiz | Counselor | 328 S Central Ave Ste 110, Medford, OR 97501-7274 | 2011-02-07 |
| 1902101066 | Susan Desantis Marion | Counselor | 1005 East Main Street, Jackson County Mental Health, Medford, OR 97504 | 2011-01-21 |
| 1972711042 | Mary Catherine Martin | Counselor | 3550 National Drive, Medford, OR 97504 | 2007-05-20 |
| 1922210020 | Jacqueline A Buckmaster | Counselor | 1016 Court St., Medford, OR 97501 | 2007-05-03 |
| 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.