KIM OVESON (NPI# 1578113791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578113791 |
| Entity Type | Individual |
| Full Name | KIM OVESON |
| Credential | CADC II |
| Practice Address |
1003 E Main St Ste 104 Medford OR 97504-7140 |
| Practice Telephone | 5417791282 |
| Practice Fax Number | 5416082888 |
| Mailing Telephone | 5417791282 |
| Mailing Fax Number | 5416082888 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
20-QMHP-R-0077 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1003 E MAIN ST STE 104 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1093358194 | Leticia Parra Aguilar | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-10-21 |
| 1841786555 | Shelaine M Quall | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2018-07-05 |
| 1770099467 | Zoe Ariel Rossing | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2017-12-18 |
| 1174077978 | Christine Mason | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-08-09 |
| 1346697687 | Allan Rucker | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1548617889 | Jackie M Jones | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1700233087 | Anne Daugherty | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1326495607 | Nicole Elliott | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1366899734 | Deana Carvalho | Personal Emergency Response Attendant | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-16 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on KIM OVESON.
| 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.