Organization Active NPI

Hawthorne Healing Center LLC

Doing business as Hawthorne Healing Center

  • Professional Counselor
  • Medford, OR
National Provider Identifier
1851903629
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HAWTHORNE HEALING CENTER LLC
Doing business as
Hawthorne Healing Center
Practice address
21 Hawthorne St
Medford, OR 97504-7113
Phone
(541) 350-0571
NPI assigned
Aug 21, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Richard P Cummings, LPCNPI 1952853491
Title
Sole Member
Phone
(541) 350-0571

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)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

21 Hawthorne St
Medford, OR 97504-7113

Mailing address

21 Hawthorne St
Medford, OR 97504-7113

Other names 1

  • Hawthorne Healing Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.https://https://www.therapynotes.com/app/patients/ Direct
Other URL https://www.therapynotes.com/app/billing/

National Provider Directory

National Provider Directory

Locations

21 Hawthorne St
Medford, OR 97504
Phone (458) 226-2339

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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1851903629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047113",
            "telephone_number": "541-350-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-350-0571",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.https://https://www.therapynotes.com/app/patients/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Hawthorne St",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com/app/billing/",
            "affiliation": "N",
            "address_1": "21 Hawthorne St",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hawthorne Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 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.