Individual provider Active NPI

Melissa Troy, LCSW

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1043844327
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L30004 Issued in OR
Practice address
670 Superior CT Ste 103
Medford, OR 97504-6179
Phone
(541) 414-4931
Fax
(541) 646-7120
NPI assigned
Feb 26, 2020
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X L30004 OR Primary

Addresses

Primary practice location

670 Superior CT Ste 103
Medford, OR 97504-6179

Mailing address

670 Superior CT Ste 103
Medford, OR 97504-6179
Phone (541) 414-4931

Other practice location 1

503 Airport Rd Ste 101
Medford, OR 97504-4159
Phone (541) 200-2900

Other identifiers 1

IdentifierTypeStateIssuer
500793382MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223001277 OR Practitioner - Clinical Social Worker 6406383900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbiacare Services, Inc.Group PAC ID 6901182229, 8 clinicians
Melissa Therapy LLCGroup PAC ID 0547783110, 2 clinicians

Practice addresses (Care Compare)

503 Airport Rd
Suite 101
Medford, OR 97504-4159
Phone (541) 858-8170

670 Superior CT
Suite 103
Medford, OR 97504-6179
Phone (541) 414-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiacare Services Inc Current Accepting new patients
Melissa Therapy LLC Clinical CurrentSince Feb 24, 2024 Accepting new patients
Columbiacare Services CurrentSince Oct 6, 2024 Accepting new patients
Columbiacare Services Inc CurrentSince Oct 6, 2024 Accepting new patients

Locations

3587 Heathrow Way
Medford, OR 97504

503 Airport Rd
Ste 101
Medford, OR 97504
Phone (541) 200-2900

670 Superior Ct
Ste 103
Medford, OR 97504
Phone (541) 414-4931

Organizations & group practices 4

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1043844327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046179",
            "telephone_number": "541-414-4931",
            "fax_number": "541-646-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046179",
            "telephone_number": "541-414-4931",
            "fax_number": "541-646-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Airport Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044159",
            "country_code": "US",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROY",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L30004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500793382",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.