Rogue Holistic Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROGUE HOLISTIC THERAPY

Practice address

713 S Riverside Ave
Medford, OR 97501-7837

Phone

(541) 203-0055

Fax

(541) 227-2356

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Coriann Matthews, LCSWNPI 1497181994

Title

Owner

Phone

(541) 324-3173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Coriann Ranea Matthews, MSW, LCSW

  • Mental Health Counselor
  • Medford, OR
  • NPI 1497181994

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Dana Ticker, B.A.

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1235489154
  Medicare reassignment Care Compare group NPD
• Kevon A Quade Lindenberg, LMT

  • Massage Therapist
  • Medford, OR
  • NPI 1629780747
  NPD
• Silvia Tsai Luu Stanton, LCSW

  • Clinical Social Worker
  • Medford, OR
  • NPI 1336722651
  NPD
• Kelsey Anne Langille, LCSW

  • Social Worker
  • Portland, OR
  • NPI 1558083162
  NPD (past)
• Kathryn Meza, LCSW

  • Clinical Social Worker
  • Central Point, OR
  • NPI 1346549656
  NPD (past)
• Sylvia Poareo, MSW

  • Clinical Social Worker
  • Medford, OR
  • NPI 1699624155
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1881285658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010043",
            "telephone_number": "541-203-0055",
            "fax_number": "541-227-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017837",
            "telephone_number": "541-203-0055",
            "fax_number": "541-227-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE HOLISTIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CORIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-324-3173",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogue Community Health
• Rogue Community Health
• Rogue Endocrinology and Metabolic Clinic
• Rogue Functional Wellness LLC
• Rogue Health LLC
• Rogue Integrative Care, LLC
• Rogue Massage Clinic, LLC
• Rogue Pediatric Therapies, LLC
• Rogue Periodontics & Implant Dentistry
• Rogue Reflection Counseling

• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.