Active NPI
Little Light Counseling
- Mental Health Counselor
- Medford, OR
National Provider Identifier
1164091930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LITTLE LIGHT COUNSELING
- Practice address
- 3550 National Drive
Medford, OR 97504 - Phone
- (458) 225-4255
- Fax
- (541) 500-1818
- NPI assigned
- Jun 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mimi Marlene French-Templeton, M.S., LPC, NCC
- Title
- Executive Director
- Phone
- (458) 225-4255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3550 National Drive
Medford, OR 97504
Mailing address
3550 National Drive
Medford, OR 97504
Phone (458) 225-4255
Other names 1
- Little Light Counseling
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | api.littlelight.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Medford, OR
- NPI 1538733282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1164091930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 NATIONAL DRIVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "458-225-4255",
"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": "458-225-4255",
"fax_number": "541-500-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE LIGHT COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-05",
"status": "A",
"authorized_official_last_name": "FRENCH-TEMPLETON",
"authorized_official_first_name": "MIMI",
"authorized_official_middle_name": "MARLENE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "458-225-4255",
"authorized_official_credential": "M.S., LPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "api.littlelight.com",
"affiliation": "N",
"endpointDescription": "Web services endpoint",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Secure proprietary communication",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "JSON",
"address_1": "3550 National Drive",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "97504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Little Light Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.