Active NPI
Jar Counseling, LLC
- Clinical Social Worker
- Eagle Point, OR
National Provider Identifier
1346729043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3625
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.