Individual provider Active NPI

Christine Ober, LCSW

  • Social Worker
  • Medford, OR
National Provider Identifier
1912352634
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
33 N Central Ave Ste 409
Medford, OR 97501-5939
Phone
(541) 238-5510
NPI assigned
May 2, 2016
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

33 N Central Ave Ste 409
Medford, OR 97501-5939

Mailing address

33 N Central Ave Ste 409
Medford, OR 97501-5939
Phone (231) 360-6410

Other practice location 1

105 Hall St
Traverse City, MI 49684-2288
Phone (231) 922-4850

Other practice location 2

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

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
I20201210001377 OR Practitioner - Clinical Social Worker 0749692077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 N Central Ave
Medford, OR 97501-5939
Phone (541) 238-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peacemind Therapy LLC CurrentSince Dec 14, 2021 Accepting new patients

Locations

33 N Central Ave
Ste 213
Medford, OR 97501
Phone (541) 238-5510

33 N Central Ave
Ste 409
Medford, OR 97501
Phone (231) 360-6410

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1912352634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N CENTRAL AVE STE 409",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015939",
            "telephone_number": "231-360-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N CENTRAL AVE STE 409",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015939",
            "telephone_number": "541-238-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hall St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842288",
            "country_code": "US",
            "telephone_number": "231-922-4850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 SW G St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975262544",
            "country_code": "US",
            "telephone_number": "541-476-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBER",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.