Brandon Warner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C10668 Issued in OR

Practice address

810 E Jackson St
Medford, OR 97504-6773

Phone

(541) 500-7111

Fax

(541) 507-9118

NPI assigned

May 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Find a Light Counseling LLC

  • Professional Counselor
  • Medford, OR
  • NPI 1801737069

  Single Specialty

  NPD Authorized official
• Rising Phoenix Counseling Services, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1164952164
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1356089676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046773",
            "telephone_number": "541-500-7111",
            "fax_number": "541-507-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046773",
            "telephone_number": "541-500-7111",
            "fax_number": "541-507-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 NE 7th St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261634",
            "country_code": "US",
            "telephone_number": "541-500-7111",
            "fax_number": "541-507-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Practice Location",
            "address_1": "233 NE B St Ste 201",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975262108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janel Marie Wangsvick-Lane, OTR/L
• Adam Keith Ward
• Johanna Erin Ward, BA, QMHA
• Sarah H Ward, PSS
• Virn Warndahl
• Katherine Warner, LICENSED PSYCHOLOGIS
• Kathryn A Warner, FNP
• Kenneth Warner, RN
• Mayanne Warren, PEER SPECIALIST
• Michael L Warren, DC

• Mental Health Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.