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
- Last updated
- Jul 15, 2026
- 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
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9724 | OR | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Medford, OR
- NPI 1497170658
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Shawni Cayetano-Ramos
- Weston Jay Caywood, M.D.
- Gheorghe Ciprian Cazan, M.D.
- Linda Cearley
- Quinn Robert Celeen
- Christina Hansel Cellura, D.O.
- Fernando Cendejas, MD
- Joel Andres Centeno, DPT
- Center for Regenerative Orthopedic Medicine, PC
- Center of Orthopedic Rehabilitation & Exercise, LLC (CORE Physical Therapy & Training)
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.