Organization Active NPI

Experienced Integrative Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, OR
National Provider Identifier
1548019391
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXPERIENCED INTEGRATIVE PSYCHOTHERAPY
Practice address
635 Lit Way
Ashland, OR 97520-2414
Phone
(541) 238-5648
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Martha McCordNPI 1649605940
Title
LMFT
Phone
(415) 332-3397

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

635 Lit Way
Ashland, OR 97520-2414

Mailing address

168 Meade St
Ashland, OR 97520-2821
Phone (415) 332-3397

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1548019391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MEADE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202821",
            "telephone_number": "415-332-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 LIT WAY",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202414",
            "telephone_number": "541-238-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCED INTEGRATIVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "415-332-3397"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.