Organization Active NPI

Conscious Life Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Medford, OR
National Provider Identifier
1740894856
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONSCIOUS LIFE COUNSELING, LLC
Practice address
107 E Main St Ste 7
Medford, OR 97501-6022
Phone
(541) 414-4337
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Maire Murphy, LPC
Title
Licensed Professional Counselor
Phone
(541) 414-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

107 E Main St Ste 7
Medford, OR 97501-6022

Mailing address

2253 Ridge Way
Medford, OR 97504-6388
Phone (541) 613-7015

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL consciouslifecounselingservices.com Direct
CONNECT URL SimplePractice.com Direct

National Provider Directory

National Provider Directory

Locations

107 E Main St
Ste 7
Medford, OR 97501
Phone (541) 414-4337

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1740894856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 RIDGE WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046388",
            "telephone_number": "541-613-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 7",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016022",
            "telephone_number": "541-414-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MAIRE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "541-414-4337",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "consciouslifecounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Conscious Life Counseling website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 E Main St Ste 7",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975016022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 E Main St Ste 7",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975016022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 4, 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.