Jackson County Mental Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

JACKSON COUNTY MENTAL HEALTH

Practice address

1911 Hazel Ave
Medford, OR 97501-1630

Phone

(541) 734-3953

NPI assigned

Dec 27, 2010

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gordon A Norman, LPCNPI 1487958369

Title

Program Manager

Phone

(541) 734-3952

Specialties & licenses 1

Addresses

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.

• Gordon Allen Norman, LPC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1487958369
  Authorized official Same address or phone

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1780988253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HAZEL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011630",
            "telephone_number": "541-734-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HAZEL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011630",
            "telephone_number": "541-734-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-734-3952",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jacks, MD
• Jackson Co Child Abuse Task Force Inc (Children's Advocacy Center)
• Jackson County Child Abuse Task Force Inc
• Jackson County Community Justice
• Jackson County HHS
• Jackson County Mental Health
• Jackson County Oregon (Juvenile Services Division)
• Jackson County Physical Therapy LLP
• Steven Lee Jackson-Villegas
• Brian A Jackson, CADC I

• Mental Illness Community Based Residential Treatment Facility in Medford, OR
• Providers in Medford, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.