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AZUSA MOKUTA
NPI 1316625767
Counselor - Mental Health in Medford, OR

Active since July 06, 2023
1911 HAZEL AVE, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azusa Mokuta NPPES

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

AZUSA MOKUTA (NPI 1316625767) is an individual mental health provider in Medford, Oregon and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1316625767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAZUSA MOKUTA
Location Address1911 HAZEL AVEMedford, OR 97501-1630
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJuly 6, 2023
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1316625767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1911 HAZEL AVE, Medford, OR 97501
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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.

KERSTIN EPIFANIO
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
COLTON BRYCE CHRISTIAN B.S.
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
MS. CHERIE D MOORE
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
TINA TIMMONS
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
JCMH - HAZEL CENTER
Case Management
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
OLIVER SAFOTU
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 476-2373
JONATHAN HARPER BA, MA
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3952
MS. FARRAH LYNNE O'BRIEN
Social Worker
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950

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 Azusa Mokuta's NPI number?

The NPI number for Azusa Mokuta is 1316625767. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Azusa Mokuta located?

Azusa Mokuta practices at 1911 Hazel Ave, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Azusa Mokuta'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 Azusa Mokuta was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.