Active NPI
Christopher J Winder, QMHA
- Counselor
- Talent, OR
National Provider Identifier
1508635285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 307 Wagner Crek Road
Talent, OR 97540-9750 - Phone
- (541) 535-6239
- NPI assigned
- Dec 22, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
307 Wagner Crek Road
Talent, OR 97540-9750
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Phone (541) 535-6239
Other practice location 1
102 christian ave
talent, OR 97540
Phone (541) 535-6239
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Valle Family Healthcare Center Inc. | Current | Accepting new patients | |
| La Clinica del Valle Family Healthcare Center Inc. | Past | Accepting new patients |
Locations
931 Chevy Way
Medford, OR 97504
Phone (541) 690-3555
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Talent, OR
- NPI 1790398048
-
- Federally Qualified Health Center (FQHC)
- Talent, OR
- NPI 1215540398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1508635285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CHEVY WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044127",
"telephone_number": "541-535-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 WAGNER CREK ROAD",
"city": "TALENT",
"state": "OR",
"postal_code": "975409750",
"telephone_number": "541-535-6239"
}
],
"practiceLocations": [
{
"address_1": "102 christian ave",
"address_purpose": "LOCATION",
"city": "talent",
"state": "OR",
"postal_code": "97540",
"country_code": "US",
"telephone_number": "541-535-6239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINDER",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Talent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.