Individual provider Active NPI

Tina Jennings Okenfuss, LPC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1013495522
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7119 Issued in OR
Practice address
19 Myrtle St
Medford, OR 97504-7337
Phone
(541) 773-3863
NPI assigned
Aug 6, 2018
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X C7119 OR Primary
Professional Counselor 101YP2500X 7295 SC

Addresses

Primary practice location

19 Myrtle St
Medford, OR 97504-7337

Mailing address

1221 Disk Dr
Medford, OR 97501-6638
Phone (458) 658-5930

Other practice location 1

1839 Fremont St
Ashland, OR 97520
Phone (541) 414-1720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240316000427 SC Practitioner - Mental Health Counselor 7719323492 Reassigns benefits to 1 organization
I20260312002876 OR Practitioner - Mental Health Counselor 7719323492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Community HealthGroup PAC ID 1557266236, 31 clinicians

Practice addresses (Care Compare)

19 Myrtle St
Medford, OR 97504-7337
Phone (541) 773-3863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7119ORMDMental Health Counselor
7295SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Community Health Multi-Specialty CurrentSince Feb 16, 2025 Accepting new patients
Roper Saint Francis Physicians Network Multi-Specialty Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 11, 2024 Accepting new patients
Rogue Community Health CurrentSince Feb 16, 2025 Accepting new patients
Roper Saint Francis Physicians Network Multi-Specialty CurrentSince Mar 11, 2024 Accepting new patients

Locations

1221 Disk Dr
Medford, OR 97501

19 Myrtle St
Medford, OR 97504
Phone (541) 773-4563

2093 Henry Tecklenburg Dr
#202E
Charleston, SC 29414
Phone (843) 720-5665

3508 S Live Oak Dr
Moncks Corner, SC 29461
Phone (843) 534-1770

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1013495522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "458-658-5930",
            "fax_number": "541-414-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MYRTLE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047337",
            "telephone_number": "541-773-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Fremont St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "97520",
            "country_code": "US",
            "telephone_number": "541-414-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKENFUSS",
        "first_name": "TINA",
        "middle_name": "JENNINGS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7119",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.