Individual provider Active NPI

John Richard Mazarella, LPC, CADC III

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1861801797
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5382 Issued in OR
Practice address
611 Siskiyou Blvd
Ashland, OR 97520-2151
Phone
(541) 476-2373
NPI assigned
Aug 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X C5382 OR Primary

Addresses

Primary practice location

611 Siskiyou Blvd
Ashland, OR 97520-2151

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Other practice location 1

890 82nd Dr
Gladstone, OR 97027-1803
Phone (971) 229-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002789 OR Practitioner - Mental Health Counselor 6204286982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Beavercreek Rd
Oregon City, OR 97045-4307
Phone (503) 655-8471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Options for Southern Oregon CurrentSince Jan 1, 2024 Accepting new patients
County of Clackamas Office of County Auditor CurrentSince May 17, 2025 Accepting new patients
Options for Southern Oregon CurrentSince Jan 1, 2024 Accepting new patients
Clackamas County Current Accepting new patients
Options for Southern Oregon Past Accepting new patients

Locations

611 Siskiyou Blvd
Ste 8
Ashland, OR 97520
Phone (541) 482-1718

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300

110 Beavercreek Rd
Oregon City, OR 97045
Phone (503) 655-8470

39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1861801797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW G ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262544",
            "telephone_number": "541-476-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-476-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 82nd Dr",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "OR",
            "postal_code": "970271803",
            "country_code": "US",
            "telephone_number": "971-229-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZARELLA",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "LPC, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.