Ackley Counseling & Employment Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

DZ1069 Issued in OR

Legal business name

ACKLEY COUNSELING & EMPLOYMENT SERVICES

Doing business as

Daryl Ackley

Practice address

10 S Bartlett St Ste 202
Medford, OR 97501-7204

Phone

(541) 826-8344

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Miss Daryl Fredrick Ackley

Title

Owner

Phone

(541) 826-8344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daryl Ackley Doing business as

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1598149007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S BARTLETT ST STE 202",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017204",
            "telephone_number": "541-826-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S BARTLETT ST STE 202",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017204",
            "telephone_number": "541-826-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKLEY COUNSELING & EMPLOYMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-826-8344",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OR",
            "license": "DZ1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DZ1069",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daryl Ackley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Medford, OR
• Providers in Medford, OR by specialty
• Developmentally Disabled Services Day Training Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.