Care and Counseling Center of Southern Oregon, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARE AND COUNSELING CENTER OF SOUTHERN OREGON, LLC

Practice address

1322 E McAndrews Rd
Ste 101
Medford, OR 97504-6177

Phone

(541) 779-4090

Fax

(541) 770-8082

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Ormerod

Title

Administrative Director

Phone

(541) 779-4090

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1174078356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-779-4090",
            "fax_number": "541-770-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-779-4090",
            "fax_number": "541-770-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND COUNSELING CENTER OF SOUTHERN OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "ORMEROD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "541-779-4090"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Medford, OR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.