Individual provider Active NPI

Maikalani Sallee

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1104744747
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R9744 Issued in OR
Practice address
3709 Citation Way Ste 102
Medford, OR 97504-9022
Phone
(541) 900-4285
NPI assigned
Jul 9, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R9744 OR Primary

Addresses

Primary practice location

3709 Citation Way Ste 102
Medford, OR 97504-9022

Mailing address

3709 Citation Way Ste 102
Medford, OR 97504-9022

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1104744747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 CITATION WAY STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 CITATION WAY STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049022",
            "telephone_number": "541-900-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "MAIKALANI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9744",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 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.

Verify at the official NPI Registry.