Sean Andrew Lawrence
Individual provider Active NPI Mental Health Counselor · Eagle Point, OR
NPI 1548093206 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1548093206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- R11844 (OR)
- Practice address
- 203 N Platt Ave
Eagle Point, OR 97524-8618 - Phone
- (541) 773-3863
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11844 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Community Health | Past |
Accepting new patients | |
| Rogue Community Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R11844 | OR | Yes |
Addresses
Primary practice location
203 N Platt Ave
Eagle Point, OR 97524-8618
Mailing address
1221 Disk Dr
Medford, OR 97501-6638
Phone (541) 773-3863
Other providers in Eagle Point, OR
- Amalia Kieley
- Hyon Knorr Shaffer
- Brittney Koleszarik
- Cathy Ann Lamb
- Dillon H Larkin
- Paul Le
- Yeonjoo Lee-Jones
- Leigh F Lenz
- Erin Nicole Leroy
- Janice A Lindstrom
All providers in Eagle Point, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.