Individual provider Active NPI

Jerardo Alejandro Sanchez Lua, LPC

  • Mental Health Counselor
  • Grants Pass, OR
National Provider Identifier
1043854557
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9885 Issued in OR
Practice address
1181 SW Ramsey Ave
Grants Pass, OR 97527-5835
Phone
(541) 476-2373
NPI assigned
Oct 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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
Mental Health Counselor 101YM0800X C9885 OR Primary

Addresses

Primary practice location

1181 SW Ramsey Ave
Grants Pass, OR 97527-5835

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Other practice location 1

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

Other practice location 2

201 W 6th St
Medford, OR 97501-2708
Phone (541) 200-2900

Other practice location 3

203 N Platt Ave
Eagle Point, OR 97524-8618
Phone (541) 830-6617

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
I20250519000637 OR Practitioner - Mental Health Counselor 1557889086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Options for Southern Oregon CurrentSince May 29, 2025 Accepting new patients
Columbiacare Services Inc CurrentSince Nov 1, 2019 Accepting new patients
Options for Southern Oregon CurrentSince May 29, 2025 Accepting new patients
Rogue Community Health PastSince Nov 1, 2021 Accepting new patients
Rogue Community Health PastSince Nov 1, 2021 Accepting new patients

Locations

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

1181 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 476-2327

201 W 6th St
Medford, OR 97501
Phone (541) 200-2900

3587 Heathrow Way
Medford, OR 97504

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1043854557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW G ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262544",
            "telephone_number": "541-476-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275835",
            "telephone_number": "541-476-2373"
        }
    ],
    "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"
        },
        {
            "address_1": "201 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975012708",
            "country_code": "US",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N Platt Ave",
            "address_purpose": "LOCATION",
            "city": "Eagle Point",
            "state": "OR",
            "postal_code": "975248618",
            "country_code": "US",
            "telephone_number": "541-830-6617",
            "fax_number": "541-414-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ LUA",
        "first_name": "JERARDO",
        "middle_name": "ALEJANDRO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.