NPIMap

Organization Active NPI

Sound Music Therapy, LLC.

  • Music Therapist
  • Medford, OR
National Provider Identifier
1821526914
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
MT-T-10179874 Issued in OR
Legal business name
SOUND MUSIC THERAPY, LLC.
Practice address
400 Crater Lake Ave
Medford, OR 97504-6808
Phone
(541) 622-2186
Fax
(541) 770-9212
NPI assigned
Jun 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brenda Marie Walleman, MT-BC, LICENSEDNPI 1891055034
Title
Owner/Lead Music Therapist
Phone
(541) 622-2186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X MT-T-10179874 OR Primary

Addresses

Primary practice location

400 Crater Lake Ave
Medford, OR 97504-6808

Mailing address

400 Crater Lake Ave
Medford, OR 97504-6808
Phone (541) 622-2186

National Provider Directory

National Provider Directory

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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821526914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-622-2186",
            "fax_number": "541-770-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-622-2186",
            "fax_number": "541-770-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MUSIC THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLEMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LEAD MUSIC THERAPIST",
        "authorized_official_telephone_number": "541-622-2186",
        "authorized_official_credential": "MT-BC, LICENSED"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "OR",
            "license": "MT-T-10179874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 21, 2022; 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.