Evergreen Counseling & Life Skills, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVERGREEN COUNSELING & LIFE SKILLS, LLC

Practice address

14 Cottage St
Medford, OR 97504-7332

Phone

(541) 890-2572

Fax

(541) 779-3260

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena C Meyer, M.S.

Title

Mental Health Therapist

Phone

(541) 890-2572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1881942498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 LYNN LANE",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "97502",
            "telephone_number": "541-890-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COTTAGE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047332",
            "telephone_number": "541-890-2572",
            "fax_number": "541-779-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING & LIFE SKILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "541-890-2572",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Evans, MD
• Roderick Evans, CRM
• Stephanie Michelle Evans
• Thomas Russell Evans, DO
• Christine Louise Everaert, MSOTRL
• Evergreen Regenerative Medicine and Rehabilitation PC
• Serafina Eliya Evergreen
• Deborah Lynn Evertt, QMHA
• Every Word Counts
• Thomas M Ewald, MD

• Community/Behavioral Health Agency in Medford, OR
• Providers in Medford, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.