Active NPI
Lumora Mental Health and Wellness
- Clinical Social Worker
- Medford, OR
National Provider Identifier
1326947896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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.