Active NPI
Jill Limerick, MFT
- Marriage & Family Therapist
- Ashland, OR
National Provider Identifier
1003075227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 25644
- Practice address
- 321 Clay St SPC 82
Ashland, OR 97520-1360 - Phone
- (541) 500-8655
- Fax
- (800) 433-1396
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 25644 | CA | Primary |
Addresses
Primary practice location
321 Clay St SPC 82
Ashland, OR 97520-1360
Mailing address
PO Box 1787
Medford, OR 97501-0261
Phone (541) 500-8655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131004165 | OR | Practitioner - Marriage and Family Therapist | 0941653430 | Practice locations: Ashland, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25644 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1003075227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1787",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010261",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 CLAY ST SPC 82",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201360",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMERICK",
"first_name": "JILL",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "25644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.