Jillian Lisa Marie Mahon, CADC-R, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

534 E Main St
Medford, OR 97504-7118

Phone

(541) 200-1530

Fax

(541) 772-0284

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oasis Center of the Rogue Valley

  • Addiction Medicine (Family Medicine) Physician
  • Medford, OR
  • NPI 1922582493
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1679284582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047118",
            "telephone_number": "541-200-1530",
            "fax_number": "541-772-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047118",
            "telephone_number": "541-200-1530",
            "fax_number": "541-772-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "JILLIAN",
        "middle_name": "LISA MARIE",
        "credential": "CADC-R, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL HEALTH WORKER, PEER SUPPORT SPECIALIST",
            "identifier": "THW000104724",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Magarian, NP
• Vipul Mahajan, M.D
• John Maurice Mahan, M.D.
• Sulagshan Mahendrarajah, MD
• Jacob John Mahon, PHD; BCBA-D
• Lexington Mainard, CRM
• Maisha Optical LLC
• Kathryn Maitas, M.A., LPC
• Amanda Rae Maitland
• Joan E Majeski

• Addiction (Substance Use Disorder) Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.