AMY DAHLA (NPI# 1598133415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598133415 |
| Entity Type | Individual |
| Full Name | AMY DAHLA |
| Credential | LPC |
| Practice Address |
140 S Holly St Medford OR 97501-3113 |
| Practice Telephone | 5417748201 |
| Practice Fax Number | 5417747979 |
| Mailing Telephone | 5417748201 |
| Mailing Fax Number | 5417747979 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4743 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 711 E Main St Ste 12, Medford, OR 975047139 | 5413637309 |
| Street Address |
140 S HOLLY ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087333 | Elizabeth Ann Pischel | Advanced Practice Midwife | 140 S Holly St, Greentree, Medford, OR 97501-3113 | 2006-09-24 |
| 1518564434 | Melissa Olena Zivanov | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-10-04 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1487279402 | Autumn Jewel Doshier | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-15 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1801435243 | Jeanelle Kline | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-01-02 |
| 1255983979 | Griselda C Veloz | Nurse's Aide | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-12 |
| 1164084497 | Martha Griselda Rodriguez | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-08 |
| 1083179121 | Anthony Kahaly | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2019-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978017 | Peaceful Practices Counseling LLC | Counselor | 520 Stokes Rd Ste A5, Medford, NJ 08055-2904 | 2020-06-30 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1861998080 | Deborah Hritz | Counselor | 13 Larsen Park Dr, Medford, NJ 08055-8169 | 2018-04-05 |
| 1396112678 | Sara Marie Martino | Counselor | 19 Ohio Trl, Medford, NJ 08055-8931 | 2015-08-21 |
| 1437568417 | Angela R Ewing | Counselor | 33 N Central Ave Ste 400, Medford, OR 97501-5940 | 2014-08-04 |
| 1609200567 | Professional Psychology Services | Counselor | 1 N Main St Ste 1b, Medford, NJ 08055-2445 | 2013-08-28 |
| 1609172717 | Lisa N Ortiz | Counselor | 328 S Central Ave Ste 110, Medford, OR 97501-7274 | 2011-02-07 |
| 1902101066 | Susan Desantis Marion | Counselor | 1005 East Main Street, Jackson County Mental Health, Medford, OR 97504 | 2011-01-21 |
| 1972711042 | Mary Catherine Martin | Counselor | 3550 National Drive, Medford, OR 97504 | 2007-05-20 |
| 1922210020 | Jacqueline A Buckmaster | Counselor | 1016 Court St., Medford, OR 97501 | 2007-05-03 |
| 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.