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TRACY SUE SHEPPARD
NPI 1245049071
Counselor - Mental Health in Medford, OR

Active since January 06, 2025
3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 357-5786(458) 226-2163 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Sue Sheppard NPPES

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

TRACY SUE SHEPPARD (NPI 1245049071) is an individual mental health provider in Medford, Oregon and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1245049071
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY SUE SHEPPARD
Location Address3200 JUANIPERO WAYMedford, OR 97504-8580
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 357-5786
Fax(458) 226-2163
Sole ProprietorNo
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1245049071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3200 JUANIPERO WAY, Medford, OR 97504
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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.

JENNIFER LYNN BURNETT CASTILLO
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
COLUMBIACARE SERVICES
Clinic/Center
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
KARRYN DANIELLE OLSON
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
JUSTINE JEWEL COMPOMIZZI
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIZUKO TAKAMOTO
Massage Therapist
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
SARAH DEWOLF
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIRANDA J HEDGPETH
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
BRODERICK R STATES
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131

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 Tracy Sheppard's NPI number?

The NPI number for Tracy Sheppard is 1245049071. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Tracy Sheppard located?

Tracy Sheppard practices at 3200 Juanipero Way, Medford, OR 97504. The listed phone number is (541) 357-5786.

What is Tracy Sheppard's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracy Sheppard was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.