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ANDROMEDA SAFOTU
NPI 1316803299
Counselor - Mental Health in Medford, OR

Active since January 05, 2026
1481 KINGS HWY, MEDFORD, OR 97501(458) 658-9643 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andromeda Safotu NPPES

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

ANDROMEDA SAFOTU (NPI 1316803299) is an individual mental health provider in Medford, Oregon, licensed in Oregon (25-QMHA-R-8077) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1316803299
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDROMEDA SAFOTU
Location Address1481 KINGS HWYMedford, OR 97501-4010
Mailing Address1481 Kings HwyMedford, OR 97501-4010 · (458) 658-9643
Phone(458) 658-9643
Sole ProprietorNo
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 4, 2026
✔ NPI 1316803299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 25-QMHA-R-8077
1481 KINGS HWY, Medford, OR 97501
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Other Providers at the Same Location NPPES 4

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

NIBBUS COMBINED CARE LLC
Community Based Residential Treatment Facility, Mental Illness
1481 KINGS HWY
MEDFORD, OR 97501
Jackson County (541) 254-0630
AMY CHERIE MYERS
Counselor (Mental Health)
1481 KINGS HWY
MEDFORD, OR 97501
Jackson County (458) 658-9643
CALLEY DUVALL QMHA
Rehabilitation Practitioner
1481 KINGS HWY
MEDFORD, OR 97501
Jackson County (458) 658-9643
ARIANNA NICOLE MILLER
Behavior Technician
1481 KINGS HWY
MEDFORD, OR 97501
Jackson County (458) 658-9643

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 Andromeda Safotu's NPI number?

The NPI number for Andromeda Safotu is 1316803299. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Andromeda Safotu located?

Andromeda Safotu practices at 1481 Kings Hwy, Medford, OR 97501. The listed phone number is (458) 658-9643.

What is Andromeda Safotu'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 Andromeda Safotu was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.