Active NPI
Charlotte Mikuls
- Mental Health Counselor
- Ashland, OR
National Provider Identifier
1992331201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1836 Fremont St
Ashland, OR 97520-2537 - Phone
- (541) 484-5720
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Medford, OR
- NPI 1346341427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions | Current | Accepting new patients |
Locations
1836 Fremont St
Ashland, OR 97520
Phone (541) 482-5792
201 W Main St
Ste 4B
Medford, OR 97501
Phone (541) 281-9026
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1836 Fremont St
Ashland, OR 97520-2537
Mailing address
201 W Main St Ste 4B
Medford, OR 97501-2734
Phone (541) 414-1720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2020.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1992331201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MAIN ST STE 4B",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975012734",
"telephone_number": "541-414-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 FREMONT ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975202537",
"telephone_number": "541-484-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULS",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.