Becky Gathercoal Counseling Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2674 Issued in OR

Legal business name

BECKY GATHERCOAL COUNSELING INC.

Practice address

3550 National Drive
Medford, OR 97504

Phone

(541) 772-8680

Fax

(541) 500-1818

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Becky Janelle Gathercoal, LCSWNPI 1063614162

Title

President-Owner

Phone

(541) 772-8680

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Becky Janelle Gathercoal, LCSW

  • Clinical Social Worker
  • Medford, OR
  • NPI 1063614162
  NPD Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1134623960",
    "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": "97504",
            "telephone_number": "541-772-8680",
            "fax_number": "541-500-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY GATHERCOAL COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "GATHERCOAL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "JANELLE",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "541-772-8680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "2674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063614162",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Beck
• Sydney Ann Beck, PT, DPT
• Teigan Riley Beck, CCC-SLP
• Jacob Matthew Beckler
• Jay H Beckstead, M.D.
• David Francisco Becraft
• Rachele Bedsole
• Milan Beebe, FNP
• Hope Mariah Beecher
• Travis Behrend, M.D.

• Community/Behavioral Health Agency in Medford, OR
• Providers in Medford, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.