Organization Active NPI

Jar Counseling, LLC

  • Clinical Social Worker
  • Eagle Point, OR
National Provider Identifier
1346729043
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3625 Issued in OR
Legal business name
JAR COUNSELING, LLC
Practice address
196 Glenwood Dr
Eagle Point, OR 97524-8595
Phone
(541) 261-1763
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Ms. Judy Rudy, MSW, LCSW, CRC
Title
Sole Proprietor
Phone
(541) 261-1763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L3625 OR Primary

Addresses

Primary practice location

196 Glenwood Dr
Eagle Point, OR 97524-8595

Mailing address

196 Glenwood Drive
Eagle Point, OR 97524-8595
Phone (541) 261-1763

National Provider Directory

National Provider Directory

Locations

843 E Main St
Ste 302
Medford, OR 97504
Phone (541) 261-1763

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1346729043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 GLENWOOD DRIVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248595",
            "telephone_number": "541-261-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 GLENWOOD DR",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248595",
            "telephone_number": "541-261-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "541-261-1763",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, CRC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.