Casey Kohl LCSW LLC Dba Mid-Valley Mindfulness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CASEY KOHL LCSW LLC DBA MID-VALLEY MINDFULNESS

Practice address

1701 W Harvard Ave # 204
Roseburg, OR 97471-2716

Phone

(458) 280-9031

NPI assigned

Apr 8, 2026

Organization subpart

No

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

Authorized official

Name

Casey Kohl, LCSWNPI 1851451157

Title

Owner

Phone

(458) 280-9031

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Kohl, LCSW

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1851451157
  NPD Authorized official

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1730021791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W HARVARD AVE # 204",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712716",
            "telephone_number": "459-280-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W HARVARD AVE # 204",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712716",
            "telephone_number": "458-280-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY KOHL LCSW LLC DBA MID-VALLEY MINDFULNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-280-9031",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.