Organization Active NPI

Jose Luis Garcia Ma Ms LPC Mental Health Counseling

  • Mental Health Counselor
  • Phoenix, OR
National Provider Identifier
1700400306
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.