Individual provider Active NPI

Jason Wilcox, LCSW

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1225280753
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L13627 Issued in OR
Practice address
1414 NW Valley View Dr # 107
Roseburg, OR 97471-1760
Phone
(541) 900-8244
NPI assigned
Oct 15, 2008
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L13627 OR Primary

Addresses

Primary practice location

1414 NW Valley View Dr # 107
Roseburg, OR 97471-1760

Mailing address

1414 NW Valley View Dr # 107
Roseburg, OR 97471-1760
Phone (541) 900-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419002003 OR Practitioner - Clinical Social Worker 6709251093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motivational Parent CurrentSince Jan 2, 2022 Accepting new patients
Rogue Psych Consultants, LLC CurrentSince Apr 1, 2023 Accepting new patients
Rogue Psych Consultants PastSince Jul 20, 2021 Accepting new patients

Locations

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

1414 NW Valley View Dr
Roseburg, OR 97471
Phone (541) 900-8244

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1225280753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW VALLEY VIEW DR # 107",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711760",
            "telephone_number": "541-900-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW VALLEY VIEW DR # 107",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711760",
            "telephone_number": "541-900-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.