NPIMap

Organization Active NPI

Ontrack, Inc.

Doing business as OnTrack Rogue Valley

  • Community/Behavioral Health Agency
  • Medford, OR
National Provider Identifier
1881685097
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONTRACK, INC.
Doing business as
OnTrack Rogue Valley
Practice address
300 W. Main Street
Medford, OR 97501
Phone
(541) 772-1777
Fax
(541) 724-2410
NPI assigned
Nov 4, 2005
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ONTRACK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mr. Alan Ledford, PHDNPI 1396942025
Title
Executive Director
Phone
(541) 200-2414

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X L3421 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X L1777 OR
Counseling Psychologist 103TC1900X 131998 OR
Clinical Social Worker 1041C0700X L3421 OR
Clinical Social Worker 1041C0700X L1777 OR
Marriage & Family Therapist 106H00000X T0056 OR
Substance Abuse Rehabilitation Facility 324500000X 193813 OR
Children's Substance Abuse Rehabilitation Facility 3245S0500X 193813 OR
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

300 W. Main Street
Medford, OR 97501

Mailing address

300 W. Main Street
Medford, OR 97501
Phone (541) 772-1777

Other identifiers 4

IdentifierTypeStateIssuer
H2152-01OtherORPACIFICSOURCE
020740000OtherORBLUE CROSS/SHIELD
117388OtherORMHN
193813MedicaidOR

Other names 1

  • OnTrack Rogue Valley Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2235642Ontrack Rogue Valley300 W Main St, Medford, OR 97501Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory
Part of
On Track Inc

Locations

221 W Main St
Medford, OR 97501
Phone (541) 241-7077

300 W Main St
Medford, OR 97501
Phone (541) 200-2379

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1881685097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W. MAIN STREET",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-772-1777",
            "fax_number": "541-724-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W. MAIN STREET",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-772-1777",
            "fax_number": "541-724-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTRACK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONTRACK, INC.",
        "enumeration_date": "2005-11-04",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-200-2414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "L3421",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "L1777",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "131998",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1777",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0056",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "193813",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OR",
            "license": "193813",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "H2152-01",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "020740000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "117388",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193813",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnTrack Rogue Valley",
            "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 Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.