Active NPI
Kristine Ledford, LMFT
- Marriage & Family Therapist
- Medford, OR
National Provider Identifier
1437580388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1043
- Practice address
- 916 W 10TH St
Suite 101
Medford, OR 97501-3018 - Phone
- (541) 774-8200
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF76309 | CA | |
| Marriage & Family Therapist | 106H00000X | T1043 | OR | Primary |
Addresses
Primary practice location
916 W 10TH St
Suite 101
Medford, OR 97501-3018
Mailing address
4627 Hathaway Dr
Medford, OR 97504-9680
Phone (541) 690-8710
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 |
|---|---|---|---|
| IMF76309 | CA | MD | Marriage & Family Therapist |
| T1043 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kal Counseling, LLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Medford, OR
- NPI 1790166817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1437580388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 HATHAWAY DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049680",
"telephone_number": "541-690-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W 10TH ST",
"address_2": "SUITE 101",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013018",
"telephone_number": "541-774-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDFORD",
"first_name": "KRISTINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF76309",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1043",
"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 Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.