Rogue Reflection Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROGUE REFLECTION COUNSELING

Practice address

1611 E Barnett Rd
Medford, OR 97504-8284

Phone

(337) 509-8607

NPI assigned

May 25, 2026

Last updated

May 25, 2026By 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

Jacquelyn Fry, LCSWNPI 1992218408

Title

LCSW

Phone

(337) 509-8607

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyn Fry

  • Social Worker
  • Eagle Point, OR
  • NPI 1992218408
  NPD Authorized official

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1225969819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TEAKWOOD DR",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975246608",
            "telephone_number": "337-509-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048284",
            "telephone_number": "337-509-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE REFLECTION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "337-509-8607",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.