Organization Active NPI

Jaci Buckmaster Counseling

  • Community/Behavioral Health Agency
  • Medford, OR
National Provider Identifier
1588313415
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JACI BUCKMASTER COUNSELING
Practice address
916 W 10TH St Ste 205
Medford, OR 97501-3018
Phone
(541) 500-8655
Fax
(800) 433-1396
NPI assigned
Mar 18, 2022
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Jaci Buckmaster, LPC
Title
Owner
Phone
(541) 776-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

916 W 10TH St Ste 205
Medford, OR 97501-3018

Mailing address

PO Box 1787
Medford, OR 97501-0261
Phone (541) 500-8655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1588313415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010261",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W 10TH ST STE 205",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013018",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACI BUCKMASTER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BUCKMASTER",
        "authorized_official_first_name": "JACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-776-7601",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Jan 28, 2025; 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.