EVERGREEN COUNSELING & LIFE SKILLS, LLC (NPI# 1881942498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881942498 |
| Entity Type | Organization |
| Organization Name | EVERGREEN COUNSELING & LIFE SKILLS, LLC |
| Practice Address |
14 Cottage St Medford OR 97504-7332 |
| Mailing Address |
661 Lynn Lane Central Point OR 97502 |
| Practice Telephone | 5418902572 |
| Practice Fax Number | 5417793260 |
| Mailing Telephone | 5418902572 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | ELENA C MEYER (MENTAL HEALTH THERAPIST) |
| Authorized Official Telephone | 5418902572 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
14 COTTAGE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518013705 | Susan Wrona | Nurse Practitioner | 14 Cottage St, Medford, OR 97504-7332 | 2007-01-28 |
| 1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
| 1508221078 | Linda Bellinson | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-28 |
| 1346615093 | Katherine Cadoux | Counselor | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-07 |
| 1417322231 | Fawn Gonzales Lcsw LLC | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-12-04 |
| 1417333675 | Sarah Demulder | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-08-10 |
| 1508256272 | Dahna Osmus | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2015-02-02 |
| 1053730622 | Stacey Guss Lcsw LLC | Social Worker | 14 Cottage St, Medford, OR 97504-7332 | 2014-04-10 |
| 1972935047 | Carla Lundblade | Counselor | 14 Cottage St, Medford, OR 97504-7332 | 2013-07-31 |
| 1164768875 | Elizabeth Sherbow | Counselor | 14 Cottage St, Medford, OR 97504-7332 | 2012-12-27 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
| 1326671082 | Res-care New Jersey, Inc. | Community/Behavioral Health | 268 Hopewell Rd, Medford, NJ 08055-8149 | 2020-02-20 |
| 1346882461 | Catherine Elizabeth Young | Community/Behavioral Health | 46 Park Ln, Medford, NY 11763-1143 | 2019-10-09 |
| 1861927089 | Leslie Rheault, Lpc | Community/Behavioral Health | 2191 Canal St, Medford, OR 97501-4338 | 2017-04-25 |
| 1497280697 | Inspired Wellness LLC | Community/Behavioral Health | 1883 Orangewood Dr, Medford, OR 97504-5727 | 2017-04-25 |
| 1164971354 | Integrative Counseling & Wellness, LLC | Community/Behavioral Health | 328 S Central Ave Ste 203, Medford, OR 97501-7274 | 2016-09-28 |
| 1437504651 | Hearts With A Mission | Community/Behavioral Health | 711 Medford Ctr # 334, Medford, OR 97504-6772 | 2016-04-25 |
| 1932568425 | Wellness Psychology, LLC | Community/Behavioral Health | 3228 Hillcrest Park Dr, Medford, OR 97504-7657 | 2016-02-12 |
| 1164811873 | Alice M. Jannini Counseling Services, LLC | Community/Behavioral Health | 500 Stokes Rd, Suite B-5, Medford, NJ 08055-2920 | 2015-01-19 |
| 1609292069 | Mindie A Medina | Community/Behavioral Health | 1005 E. Main St, Medford, OR 97504 | 2014-03-10 |
| 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.