NPIMap

Organization Active NPI

Jan Scott Garlock Pmhnp PC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1578624193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
086006628N6 Issued in OR
Legal business name
JAN SCOTT GARLOCK PMHNP PC
Practice address
3140 Juanipero Way
Suite 102
Medford, OR 97504-8640
Phone
(541) 772-5992
Fax
(541) 772-5996
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Scott Garlock, PMHNPNPI 1861578353
Title
President
Phone
(541) 772-5992

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 086006628N6 OR Primary

Addresses

Primary practice location

3140 Juanipero Way
Suite 102
Medford, OR 97504-8640

Mailing address

3140 Juanipero Way
Suite 102
Medford, OR 97504-8640
Phone (541) 772-5992

National Provider Directory

National Provider Directory

Locations

3140 Juanipero Way
Ste 102
Medford, OR 97504
Phone (541) 772-5992

33 N Central Ave
Ste 210
Medford, OR 97501
Phone (541) 499-0394

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578624193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048640",
            "telephone_number": "541-772-5992",
            "fax_number": "541-772-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048640",
            "telephone_number": "541-772-5992",
            "fax_number": "541-772-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN SCOTT GARLOCK PMHNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARLOCK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-772-5992",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "086006628N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.