Individual provider Active NPI

Coriann Ranea Matthews, MSW, LCSW

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1497181994
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L10456 Issued in OR
Practice address
713 S Riverside Ave
Medford, OR 97501-7837
Phone
(541) 203-0056
Fax
(541) 227-2356
NPI assigned
Sep 17, 2013
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L10456 OR Primary
Clinical Social Worker 1041C0700X L10456 OR

Addresses

Primary practice location

713 S Riverside Ave
Medford, OR 97501-7837

Mailing address

PO Box 631
Medford, OR 97501-0043
Phone (541) 203-0056

Other identifiers 1

IdentifierTypeStateIssuer
500700878OtherORDMAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001585 OR Practitioner - Clinical Social Worker 2365859949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Holistic TherapyGroup PAC ID 1456768035, 2 clinicians

Practice addresses (Care Compare)

713 S Riverside Ave
Medford, OR 97501-7837
Phone (541) 220-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Holistic Therapy Clinical CurrentSince Mar 5, 2021 Accepting new patients

Locations

713 S Riverside Ave
Medford, OR 97501
Phone (541) 203-0055

724 S Central Ave
Ste 215E
Medford, OR 97501
Phone (480) 238-1694

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.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1497181994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010043",
            "telephone_number": "541-203-0056",
            "fax_number": "541-227-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017837",
            "telephone_number": "541-203-0056",
            "fax_number": "541-227-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CORIANN",
        "middle_name": "RANEA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10456",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "500700878",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.