Becky Janelle Gathercoal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2674 Issued in OR

Practice address

3550 National Drive
Medford, OR 97504-7309

Phone

(541) 772-8680

Fax

(541) 500-1818

NPI assigned

Jun 1, 2007

Last updated

Mar 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Becky Janelle Gathercoal Other name

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Becky Gathercoal Counseling Inc.

  • Community/Behavioral Health Agency
  • Medford, OR
  • NPI 1134623960
  NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1063614162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NORDIC CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045299",
            "telephone_number": "541-840-7775",
            "fax_number": "541-500-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NATIONAL DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047309",
            "telephone_number": "541-772-8680",
            "fax_number": "541-500-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHERCOAL",
        "first_name": "BECKY",
        "middle_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "GATHERCOAL",
            "middle_name": "JANELLE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devon Gary
• Dakota Garza
• Irene Gasde, MS, MIM, QMHP
• Sherrie Gasper
• Gastroenterology Consultants, PC
• Alicea Gatlin
• Joseph Rocco Gatti, PA-C
• Varun Gaur, M.D.
• Matt Gebhardt, D.D.S, MS, PC
• Mehari Araya Gebremeskel

• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.