Individual provider Active NPI

Heidi Annette Dirkse-Graw, LPC

  • Professional Counselor
  • Medford, OR
National Provider Identifier
1528424488
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3861 Issued in OR
Practice address
1998 Skypark Dr Ste 102
Medford, OR 97504-5395
Phone
(541) 500-1022
Fax
(202) 788-6366
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3861 OR 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 Ste 320
Medford, OR 97504-9050
Phone (503) 516-8073

Other identifiers 2

IdentifierTypeStateIssuer
1497461669OtherNPI NUMERATOR
500711141MedicaidOR

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
I20250509001179 OR Practitioner - Mental Health Counselor 0941737381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Life Counseling LLCGroup PAC ID 4688191943, 2 clinicians

Practice addresses (Care Compare)

16 N Riverside Ave
Suite 209
Medford, OR 97501-6024
Phone (503) 516-8073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Counseling, LLC Professional CurrentSince Mar 12, 2025 Accepting new patients

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1528424488",
    "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 Ste 320",
            "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": {
        "last_name": "DIRKSE-GRAW",
        "first_name": "HEIDI",
        "middle_name": "ANNETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMERATOR",
            "identifier": "1497461669",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500711141",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.