Active NPI
Jose Luis Garcia Ma Ms LPC Mental Health Counseling
- Mental Health Counselor
- Phoenix, OR
National Provider Identifier
1700400306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JOSE LUIS GARCIA MA MS LPC MENTAL HEALTH COUNSELING
- Practice address
- 4414 S Pacific Hwy Ste 5
Phoenix, OR 97535-6600 - Phone
- (541) 292-0907
- NPI assigned
- May 31, 2020
- Last updated
- May 31, 2020
- 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
- Melynda Owens
- Title
- Office Manager
- Phone
- (541) 500-8655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
4414 S Pacific Hwy Ste 5
Phoenix, OR 97535-6600
Mailing address
PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655
National Provider Directory
National Provider DirectoryLocations
4414 S Pacific Hwy
Ste 5
Phoenix, OR 97535
Phone (541) 292-0907
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Ashland, OR
- NPI 1720304504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590883200000",
"number": "1700400306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4752",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010197",
"telephone_number": "541-500-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 S PACIFIC HWY STE 5",
"city": "PHOENIX",
"state": "OR",
"postal_code": "975356600",
"telephone_number": "541-292-0907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE LUIS GARCIA MA MS LPC MENTAL HEALTH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-31",
"last_updated": "2020-05-31",
"certification_date": "2020-05-31",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "MELYNDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-500-8655"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.