MEREDITH CONCEPCION
NPI 1104401439
Clinic/Center - Mental Health (Including Community Mental Health Center) in Roseburg, OR

Active since March 17, 2021
1299 NW ELLAN ST STE 2, ROSEBURG, OR 97470(458) 802-3883(541) 900-1840 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2021, Mar 18, 2021 (2 updates tracked since 2021).

About Meredith Concepcion NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEREDITH CONCEPCION (NPI 1104401439) is a healthcare organization registered as a mental health (including community mental health center) in Roseburg, Oregon and active in the NPI registry since March 2021. The organization lists Meredith Ann Concepcion, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1104401439
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameUMPQUA FAMILY THERAPY LLC
Location Address1299 NW ELLAN ST STE 2Roseburg, OR 97470-2031
Mailing Address1299 Nw Ellan St Ste 2Roseburg, OR 97470-2031 · (458) 802-3883 · Fax (541) 900-1840
Fax(541) 900-1840
Organization SubpartNo
Authorized OfficialMeredith Ann ConcepcionOwner/provider · (458) 802-3883
Enumeration DateMarch 17, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1104401439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCase ManagementTaxonomy 251B00000X
1299 NW ELLAN ST STE 2, Roseburg, OR 97470

Other Names 3

Doing Business AsMeredith Concepcion
Doing Business AsMeredith Concepcion, Lcsw
Other NameMeredith A Yost-concepcion

Other Identifiers 4

Other1104401439OR · Nppes Business Npi
Other1265833388OR · Npi
Medicaid14105272OR
OtherL7566OR · Lcsw License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Concepcion is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Meredith Concepcion, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1265833388
1299 NW ELLAN ST STE 2
Roseburg, OR 97470
(458) 802-3883
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1669615100
5441 S MACADAM AVE STE 4360
Portland, OR 97239
(541) 531-7532
✔ PECOS160 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umpqua Family Therapy LLC's NPI number?

The NPI number for Umpqua Family Therapy LLC is 1104401439. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Meredith Concepcion and Meredith Concepcion, LCSW. The provider is also known as Meredith A Yost-Concepcion.

Where is Umpqua Family Therapy LLC located?

Umpqua Family Therapy LLC is located at 1299 NW Ellan St Ste 2, Roseburg, OR 97470. The listed phone number is (458) 802-3883.

What is Umpqua Family Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Umpqua Family Therapy LLC enrolled in Medicare?

Yes. Umpqua Family Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Umpqua Family Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Umpqua Family Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Umpqua Family Therapy LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Umpqua Family Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Umpqua Family Therapy LLC was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.