Active NPI
Aligned Life, LLC
- Mental Health Counselor
- Medford, OR
National Provider Identifier
1649900523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ALIGNED LIFE, LLC
- Practice address
- 1020 E Jackson St
Medford, OR 97504-7027 - Phone
- (541) 622-2085
- NPI assigned
- Jun 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Alan Eykelbosch, MS, MDIV, LPC
- Title
- Owner/Mental Health Counselor
- Phone
- (808) 561-8312
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1020 E Jackson St
Medford, OR 97504-7027
Mailing address
3445 Hollywood Ave
Medford, OR 97501-1922
Phone (180) 856-1831
Other names 1
- Aligned Life Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241031000552 | OR | Part B Supplier - Clinic/Group Practice | 3072046994 |
Receives reassigned benefits from 1 practitioner Practice locations: Medford, OR |
National Provider Directory
National Provider DirectoryLocations
310 E 6th St
Ste 202
Medford, OR 97501
Phone (541) 245-2787
1020 E Jackson St
Medford, OR 97504
Phone (541) 622-2085
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Medford, OR
- NPI 1184106031
Mental Health, OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1649900523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 HOLLYWOOD AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975011922",
"telephone_number": "180-856-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E JACKSON ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047027",
"telephone_number": "541-622-2085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIGNED LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "EYKELBOSCH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "808-561-8312",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, MDIV, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aligned Life Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aligned Life Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.