Active NPI
Rogue Counseling & Consultation LLC
- Professional Counselor
- Rogue River, OR
National Provider Identifier
1831734169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ROGUE COUNSELING & CONSULTATION LLC
- Practice address
- 211 Pine St Ste C
Rogue River, OR 97537-9417 - Phone
- (541) 500-8655
- Fax
- (800) 433-1396
- NPI assigned
- Nov 11, 2019
- Last updated
- Nov 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Mersino
- Title
- LPC
- Phone
- (541) 500-8655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
211 Pine St Ste C
Rogue River, OR 97537-9417
Mailing address
PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655
National Provider Directory
National Provider DirectoryLocations
211 Pine St
Ste C
Rogue River, OR 97537
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": "1573430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573430400000",
"number": "1831734169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4752",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010197",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 PINE ST STE C",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379417",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE COUNSELING & CONSULTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A",
"authorized_official_last_name": "MERSINO",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "541-500-8655"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogue River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.