Integrative Counseling & Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C3874 Issued in OR

Legal business name

INTEGRATIVE COUNSELING & WELLNESS, LLC

Practice address

328 S Central Ave Ste 203
Medford, OR 97501-7274

Phone

(541) 890-2572

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena C Meyer, LPC

Title

Sole Member/Professional Counselor

Phone

(541) 890-2572

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1164971354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 LYNN LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975023735",
            "telephone_number": "541-890-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE STE 203",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-890-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "541-890-2572",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C3874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 28, 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.