Rogue Psych Consultants, LLC
Organization Active NPI Mental Health Counselor · Ashland, OR
NPI 1447727110 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1447727110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ROGUE PSYCH CONSULTANTS, LLC
- Practice address
- 785 Walker Ave
Ashland, OR 97520-3439 - Phone
- (541) 500-8655
- Fax
- (800) 433-1396
- NPI assigned
- Oct 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Evan Alvord, PSYCHOLOGIST
- Title
- Sole Member
- Phone
- (541) 500-8655
Practitioners 37
-
Evan Matthew Alvord, PSY.D.
-
Matthew Thomas Blakeley, PSY.D.
-
Amber Brand, L.C.S.W.
-
Kathryn Clements, LCSW
-
Benjamin Lee Giesbrecht, PSY.D.
-
Ann F Lauritsen, LCSW
-
Jessica Long, LCSW
-
Tamara Ann Lukes, LCSW
-
Tamara Carmen Randall, PSYD
-
Rebecca Ruyle, MSW, CSWA, LCSW
-
Ingrid Christina Siadal, MED, MSW
-
Amy Twiest, LSCW
-
Sarah Weis, MSW, QMHP
-
Kimberli Ann Wicks, LPC
-
Christopher Gene Watson, PSYD
-
Darcy Brook Kennedy, LCSW
-
Mollie Brynne Baker, LCSW
-
Danielle Sharayah Barth, M.S.W.
-
Jessica Burnett, LCSW
-
Patrice Deidre Carrello, PH.D.
-
Carrie Geibel, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190408002460 | OR | Part B Supplier - Clinic/Group Practice | 1850632415 |
Receives reassigned benefits from 33 practitioners Practice locations: Beaverton, OR; Woodburn, OR; Redmond, OR; Portland, OR; Newberg, OR; Myrtle Point, OR; Medford, OR; Keizer, OR… |
National Provider Directory
Locations
825 Crater LK Ave
Medford, OR 97504
601 Evergreen Rd
Woodburn, OR 97071
Phone (503) 982-0111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
785 Walker Ave
Ashland, OR 97520-3439
Mailing address
PO Box 1787
Medford, OR 97501-0261
Phone (541) 500-8655
Other providers in Ashland, OR
- Rogue Community Health
- Rogue Community Health
- Rogue Food Unites
- Rogue Professional Counselors
- Rogue Psych Consultants
- Rogue Resilience Counseling
- Rogue River Palliative Medicine, LLC
- Janet R Rollins
- Jill Rolstad
- Amanda Rose
All providers in Ashland, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.