NPIMap

Organization Active NPI

Winding Tree Counseling Services LLC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1942701271
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4092 Issued in OR
Legal business name
WINDING TREE COUNSELING SERVICES LLC
Practice address
916 W 10TH St Ste 100
Medford, OR 97501-3018
Phone
(541) 690-8003
Fax
(541) 843-2854
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Tamara A Soal, LPCNPI 1497168801
Title
Owner/Clinical Therapist
Phone
(541) 690-8003

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X C4092 OR Primary

Addresses

Primary practice location

916 W 10TH St Ste 100
Medford, OR 97501-3018

Mailing address

1367 Lawnridge St
Medford, OR 97504-6245
Phone (978) 602-2094

National Provider Directory

National Provider Directory

Locations

916 W 10th St
Ste 100
Medford, OR 97501
Phone (541) 690-8003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1942701271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 LAWNRIDGE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046245",
            "telephone_number": "978-602-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W 10TH ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013018",
            "telephone_number": "541-690-8003",
            "fax_number": "541-843-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING TREE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "SOAL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "541-690-8003",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 2018; 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.