Active NPI
Scarlet Celestino, MS, QMHP
- Professional Counselor
- Medford, OR
National Provider Identifier
1104716919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R9724
- Practice address
- 514 Crater Lake Ave
Medford, OR 97504-6810 - Phone
- (541) 826-8282
- Fax
- (541) 538-5109
- NPI assigned
- Jul 4, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R9724 | OR | Primary |
Addresses
Primary practice location
514 Crater Lake Ave
Medford, OR 97504-6810
Mailing address
514 Crater Lake Ave
Medford, OR 97504-6810
Phone (541) 826-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R9724 | Other | OR | OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Counseling Center, LLC | Mental Health | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1104716919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046810",
"telephone_number": "541-826-8282",
"fax_number": "541-538-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046810",
"telephone_number": "541-826-8282",
"fax_number": "541-538-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELESTINO",
"first_name": "SCARLET",
"credential": "MS, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R9724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS",
"identifier": "R9724",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.