MS. HEATHER MONIQUE DUVALL (NPI# 1164036117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164036117 |
| Entity Type | Individual |
| Full Name | MS. HEATHER MONIQUE DUVALL |
| Credential | CADC-R |
| Practice Address |
3397 Delta Waters Rd Medford OR 97504-5852 |
| Mailing Address |
300 W Main St Medford OR 97501-2756 |
| Practice Telephone | 5417724648 |
| Mailing Telephone | 5417721777 |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396987517 | Heather Elizabeth Duvall | Specialist | 3535 Martin Way E, Olympia, WA 98506-5049 | 2009-04-02 |
| Street Address |
3397 DELTA WATERS RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568829182 | Julie Hagan | Licensed Practical Nurse | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2016-01-27 |
| 1306466024 | Erika Martinez | Case Manager/Care Coordinator | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-04-22 |
| 1588284780 | Shaliene Daineille Ray | Spec/Tech, Health Info | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-04-17 |
| 1003448234 | Michelle Adaly Ruiz-castro | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-02-05 |
| 1821620055 | Alexandra Grace Caton | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-02-05 |
| 1942832175 | Jennifer Lynn Beaver | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-02-05 |
| 1659903888 | Shyra K Pomeroy | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-02-05 |
| 1598303695 | Sheona Lee Moore | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2019-12-19 |
| 1235788209 | Georgette Le Govenor | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2019-09-11 |
| 1104474527 | Montana Rae Stephens | Technician, Health Information | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1689223901 | Holly Hermes | Counselor | 48 Hawthorne St, Medford, OR 97504-7114 | 2019-09-09 |
| 1417473554 | Elysee H. Castor | Counselor | 5 High St., Suite 101, Medford, MA 02155 | 2017-08-21 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1336597541 | Joanna Lea Ballard | Counselor | 1175 E Main St Ste C1, Medford, OR 97504-7457 | 2016-05-27 |
| 1386018240 | Sarie R Scully | Counselor | 26 Horseshoe Curv, Medford, NJ 08055-9751 | 2015-11-16 |
| 1992103451 | Sean Alexander Mickelson | Counselor | 358 S Oakdale Ave, Medford, OR 97501-3131 | 2014-12-16 |
| 1134472863 | Lynette J Milligan | Counselor | 142 N Ivy St Ste 2, Medford, OR 97501-2758 | 2012-10-18 |
| 1154687689 | Phylicia Mcdonald | Counselor | 176 Jerome St, Medford, MA 02155-3535 | 2012-04-10 |
| 1215205901 | Shelly Hohl | Counselor | 1000 E Main St Bldg B, Medford, OR 97504-7449 | 2011-12-08 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.