Active NPI
Jason Tate
- Counselor
- Roseburg, OR
National Provider Identifier
1053248138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R9278
- Practice address
- 1479 NW Mulholland Dr
Roseburg, OR 97470-1914 - Phone
- (541) 673-0190
- Fax
- (541) 957-9410
- NPI assigned
- May 5, 2026
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | R9278 | OR | Primary |
Addresses
Primary practice location
1479 NW Mulholland Dr
Roseburg, OR 97470-1914
Mailing address
1479 NW Mulholland Dr
Roseburg, OR 97470-1914
Phone (541) 673-0190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9278 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Life Chiropractic and Massage P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Roseburg, OR
- NPI 1316006646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1053248138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 NW MULHOLLAND DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701914",
"telephone_number": "541-673-0190",
"fax_number": "541-957-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 NW MULHOLLAND DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701914",
"telephone_number": "541-673-0190",
"fax_number": "541-957-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R9278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.