Julie Medrano, CADCII,NCGCII,CGACII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

97-04-52 Issued in OR

Practice address

113 S Main St
Milton Freewater, OR 97862-1342

Phone

(541) 861-3081

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• All Heart Counseling Services

  • Community/Behavioral Health Agency
  • Pendleton, OR
  • NPI 1104276302
  NPD (past) Authorized official
• Osoa Therapy

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1154619963

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1134570948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SE 1ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012204",
            "telephone_number": "541-429-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621342",
            "telephone_number": "541-861-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "JULIE",
        "credential": "CADCII,NCGCII,CGACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "G 00-00-12",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "835",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "97-04-52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manford E. Anliker
• Chelsie Lynn Martuscelli, CRM
• Naomi Marie Matteson
• Heidi Jo Mayberry, LMT
• Jonathan Paul Mayberry, DPT
• Jordan Mikel, RDH
• Milton Freewater SNF Operations, LLC
• Andrei Vladimirovich Mitsourov, LMP
• Reyna Mercedes Navarrete, CADC
• Karen Linda Nazaroff, C.O.T.A./L

• Addiction (Substance Use Disorder) Counselor in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.