JENNIFER MIATKE MA, LPC, MDIV, CADCI
NPI 1275926305
Counselor - Professional in Medford, OR

Q: What is Jennifer Miatke's NPI number?

The NPI number for Jennifer Miatke is 1275926305. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Q: What is Jennifer Miatke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Miatke was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 13, 2015PECOS EnrolledAccepts Medicare Assignment

18 PORTLAND AVE, MEDFORD, OR 97504(541) 613-2697(541) 245-1530 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Jul 18, 2017 (2 updates tracked since 2017).

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About Jennifer Miatke Ma, Lpc, Mdiv, Cadci NPPES

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

JENNIFER MIATKE MA, LPC, MDIV, CADCI (NPI 1275926305) is an individual professional provider in Medford, Oregon, licensed in Oregon (C3620) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275926305

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER MIATKECredential: MA, LPC, MDIV, CADCI

Location Address18 PORTLAND AVEMedford, OR 97504-7309

Mailing Address15097 Highway 66Ashland, OR 97520-9400 · (541) 613-2697 · Fax (541) 245-1530

Phone(541) 613-2697

Fax(541) 245-1530

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 13, 2015

Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration

NPPES CertifiedMarch 29, 2024

✔ NPI 1275926305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C3620

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C3620 (OR)

18 PORTLAND AVE, Medford, OR 97504

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Miatke Ma, Lpc, Mdiv, Cadci is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456865914

PECOS Enrollment IDI20250708000819

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

TORI WILLETT M.S., LPC

Counselor (Professional)