Organization Active NPI

Better Life Counseling, LLC

  • Professional Counselor
  • Medford, OR
National Provider Identifier
1497461669
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BETTER LIFE COUNSELING, LLC
Practice address
1998 Skypark Dr Ste 102
Medford, OR 97504-5395
Phone
(541) 500-1022
Fax
(202) 788-6366
NPI assigned
Jan 30, 2023
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Heidi Annette Dirkse-Graw, LPCNPI 1528424488
Title
President
Phone
(503) 516-8073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1998 Skypark Dr Ste 102
Medford, OR 97504-5395

Mailing address

1998 Skypark Dr Ste 102
Medford, OR 97504-5395
Phone (541) 500-1022

Other practice location 1

4618 Cloudcrest Dr
Medford, OR 97504-9050
Phone (503) 516-8073

Other identifiers 1

IdentifierTypeStateIssuer
500815409MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509001076 OR Part B Supplier - Clinic/Group Practice 4688191943 Receives reassigned benefits from 2 practitioners
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

16 N Riverside Ave
Ste 209
Medford, OR 97501
Phone (503) 516-8073

1998 Skypark Dr
Ste 102
Medford, OR 97504
Phone (541) 200-2900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1497461669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 SKYPARK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045395",
            "telephone_number": "541-500-1022",
            "fax_number": "202-788-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 SKYPARK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045395",
            "telephone_number": "541-500-1022",
            "fax_number": "202-788-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4618 Cloudcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975049050",
            "country_code": "US",
            "telephone_number": "503-516-8073",
            "fax_number": "202-788-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETTER LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "DIRKSE-GRAW",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-516-8073",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500815409",
            "state": "OR"
        }
    ],
    "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 Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.