Mimi Marlene French-Templeton, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C6098 Issued in OR

Practice address

3550 National Drive
Medford, OR 97504

Phone

(458) 225-4255

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Light Counseling

  • Mental Health Counselor
  • Medford, OR
  • NPI 1164091930
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1538733282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NATIONAL DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049508",
            "telephone_number": "458-225-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NATIONAL DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "458-225-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENCH-TEMPLETON",
        "first_name": "MIMI",
        "middle_name": "MARLENE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C6098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "C6098",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "littlelightcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3550 National Drive",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://api.littlelightcounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure, proprietary REST API, access by prearrangement only",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JSON",
            "address_1": "3550 National Drive",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breyanna Nicole Freeman, CNM
• Jonathan C Freeman, M.D.
• Susan Freeman
• Heather L Freiheit, RN
• Heather Marie French Friedrich, O.D.
• Nancy French, CADC
• Ashlie Frerking
• Joanna Elyse Friedlander
• Howie Friedman, PA
• Gaile Friend, MS

• Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.