Organization Active NPI

Golden Rule Reentry

  • Peer Specialist
  • Medford, OR
National Provider Identifier
1699581918
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
GOLDEN RULE REENTRY
Practice address
715 W Main St
Medford, OR 97501-2924
Phone
(541) 930-8933
NPI assigned
Dec 10, 2024
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Abigail Lewis
Title
Executive Director
Phone
(541) 690-0745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

715 W Main St
Medford, OR 97501-2924

Mailing address

2305 Ashland St # C-350
Ashland, OR 97520-3777
Phone (541) 930-8930

National Provider Directory

National Provider Directory

Locations

2305 Ashland St
#C350
Ashland, OR 97520

715 W Main St
Medford, OR 97501
Phone (541) 930-8933

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1699581918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 ASHLAND ST # C-350",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203777",
            "telephone_number": "541-930-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012924",
            "telephone_number": "541-930-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RULE REENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-690-0745"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "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 Sep 22, 2026; 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.