Caelin Eliza Johnson-Lupes, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

233 4TH St
Ashland, OR 97520-2043

Phone

(541) 951-1098

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1215338934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 4TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-951-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Biddle Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046116",
            "country_code": "US",
            "telephone_number": "541-494-3800",
            "fax_number": "541-494-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-LUPES",
        "first_name": "CAELIN",
        "middle_name": "ELIZA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6859",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill a. Grace Hersch PHD MSW LCSW PC
• Joanna Poague
• Brynne Johannsen, PH.D.
• John P Delgado MD PC
• John P. Delgado, MD PC
• Allen Duane Johnson, MD
• Bruce E Johnson, MD
• Hannah F Johnson, LMT
• Jeffery Johnson
• Justin Theo Johnson, D.P.M.

• Mental Health Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.