Individual provider Active NPI

Judith C Labert, LPC

  • Professional Counselor
  • Medford, OR
National Provider Identifier
1740561406
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5794 Issued in OR
Practice address
815 E Jackson St
Medford, OR 97504-6713
Phone
(541) 245-2787
NPI assigned
Sep 7, 2011
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1585 MT
Professional Counselor 101YP2500X C5794 OR Primary
Professional Counselor 101YP2500X C4104 OR

Addresses

Primary practice location

815 E Jackson St
Medford, OR 97504-6713

Mailing address

815 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240210000260 OR Practitioner - Mental Health Counselor 0547603102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1585MTMDProfessional Counselor
C4104ORMDProfessional Counselor
C5794ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Rogue Community Health Past Accepting new patients
Hutter & Seeley Psychological Services, P.C. PastSince Aug 23, 2020 Accepting new patients
Rogue Community Health Past Accepting new patients

Locations

815 E Jackson St
Medford, OR 97504
Phone (541) 245-2787

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1740561406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787",
            "fax_number": "541-201-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERT",
        "first_name": "JUDITH",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1585",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5794",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.