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JACKIE GREEN M.S.
NPI 1144638255
Counselor - Mental Health in Medford, OR

Active since August 01, 2014
140 SOUTH HOLLY STREET, MEDFORD, OR 97501(541) 774-8200(541) 774-7964 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Green M.s. NPPES

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

JACKIE GREEN M.S. (NPI 1144638255) is an individual mental health provider in Medford, Oregon and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1144638255
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE GREENCredential: M.S.
Location Address140 SOUTH HOLLY STREETMedford, OR 97501
Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964
Phone(541) 774-8200
Fax(541) 774-7964
Sole ProprietorNo
Enumeration DateAugust 1, 2014
Last NPPES UpdateJanuary 5, 2015
✔ NPI 1144638255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
140 SOUTH HOLLY STREET, Medford, OR 97501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA M WEBB
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
LINDA YOUNG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARI CARMEN GALEANA MA QMHP
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARCO ROBERT MARTIN
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
TRAVIS SCOTT BURCH
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 500-8655
KATRINA LYNN HARPER
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
CAITLIN LAWSON
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 771-8200
JILL NICOLE JETER
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200

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 Jackie Green's NPI number?

The NPI number for Jackie Green is 1144638255. It was assigned to this individual provider in the NPPES registry on August 1, 2014.

Where is Jackie Green located?

Jackie Green practices at 140 South Holly Street, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Jackie Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jackie Green accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jackie Green 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 Jackie Green was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.