EPIPHANY CORPORATION (NPI# 1609382472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609382472 |
| Entity Type | Organization |
| Organization Name | EPIPHANY CORPORATION |
| Other Organization Name | EPIPHANY COACHING & COUNSELING |
| Practice Address |
2596 E Barnett Rd Ste B Medford OR 97504-4340 |
| Practice Telephone | 5414144456 |
| Mailing Telephone | 5034128868 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | HEATHER LYNN GLENN (PRESIDENT) |
| Authorized Official Telephone | 5414144456 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC4456 | OR | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Epiphany Coaching & Counseling | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EPIPHANY CORPORATION | 3115 Alameda St Apt 12, Medford, OR 97504 |
| Street Address |
2596 E BARNETT RD STE B |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982833729 | Heather Lynn Glenn | Counselor | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2009-07-14 |
| 1528585882 | Cristina Janine Lapat | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2017-08-28 |
| 1235591637 | Jennifer Lynn Larson | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2016-03-24 |
| 1295100766 | Rogue Health LLC | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504 | 2015-12-09 |
| 1699052001 | Therese Holliday | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504 | 2011-11-14 |
| 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 | ||||
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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.