Active NPI
Jennifer Carol Maley, IMF
- Marriage & Family Therapist
- Ashland, OR
National Provider Identifier
1356518302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 56373
- Practice address
- 695 Mistletoe Rd
Suite H
Ashland, OR 97520-9552 - Phone
- (541) 482-8906
- Fax
- (541) 482-6462
- NPI assigned
- May 9, 2008
- Last updated
- May 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 56373 | CA | Primary |
Addresses
Primary practice location
695 Mistletoe Rd
Suite H
Ashland, OR 97520-9552
Mailing address
1483 Poplar Dr
Apt. 6
Medford, OR 97504-5286
Phone (760) 277-5921
Other names 1
- Ms. Jennifer Carol Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56373 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lithia Springs | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Substance Abuse Rehabilitation Facility
- Ashland, OR
- NPI 1477708113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1356518302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 POPLAR DR",
"address_2": "APT. 6",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045286",
"telephone_number": "760-277-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 MISTLETOE RD",
"address_2": "SUITE H",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975209552",
"telephone_number": "541-482-8906",
"fax_number": "541-482-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEY",
"first_name": "JENNIFER",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "IMF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "56373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BROWN",
"middle_name": "CAROL",
"prefix": "MS.",
"credential": "IMF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.