Organization Active NPI

Lumora Mental Health and Wellness

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1326947896
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUMORA MENTAL HEALTH AND WELLNESS
Practice address
3559 National Dr
Medford, OR 97504-4035
Phone
(458) 220-7230
Fax
(458) 229-8416
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Grace Auerbach
Title
Credentialing Manager
Phone
(510) 552-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3559 National Dr
Medford, OR 97504-4035

Mailing address

3559 National Dr
Medford, OR 97504-4035
Phone (458) 220-7230

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1326947896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 NATIONAL DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044035",
            "telephone_number": "458-220-7230",
            "fax_number": "458-229-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 NATIONAL DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044035",
            "telephone_number": "458-220-7230",
            "fax_number": "458-229-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMORA MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "510-552-6054"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.