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CARRIE MARIE CHISHOLM B.S., CADC1
NPI 1336443217
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since January 06, 2011
1003 E MAIN ST STE 104, MEDFORD, OR 97504(541) 326-4905(541) 608-2888 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carrie Marie Chisholm B.s., Cadc1 NPPES

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

CARRIE MARIE CHISHOLM B.S., CADC1 (NPI 1336443217) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (08-12-06) and active in the NPI registry since January 2011. She maintains a secondary practice location in Ashland.

NPPES Registry Identity

NPI1336443217
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARRIE MARIE CHISHOLMCredential: B.S., CADC1
Location Address1003 E MAIN ST STE 104Medford, OR 97504
Mailing Address1003 E Main St Ste 104Medford, OR 97504-7140 · (541) 326-4905 · Fax (541) 608-2888
Phone(541) 326-4905
Fax(541) 608-2888
Sole ProprietorNo
Enumeration DateJanuary 6, 2011
Last NPPES UpdateApril 17, 2019
✔ NPI 1336443217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 08-12-06
1003 E MAIN ST STE 104, Medford, OR 97504
Open in Google Maps ↗

Secondary Practice Location 1

Location 1695 Mistletoe RdAshland, OR 97520-9552 · Phone (541) 482-8906 · Fax (541) 482-6462

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.

MR. DANIEL WAYNE INGHAM CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
GALEN O'NEIL CRM
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
DEENENA NELSON
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
LETICIA PARRA AGUILAR SUPPORT STAFF
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
SUNSHINE M LACZKOWSKI
Peer Specialist
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
JEFFREY D BROWN
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
ERIC SCOTT SPENCER CADC-R
Counselor
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282
CHRISTINE MASON
Counselor (Addiction (Substance Use Disorder))
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Jackson County (541) 779-1282

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 Carrie Chisholm's NPI number?

The NPI number for Carrie Chisholm is 1336443217. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Carrie Chisholm located?

Carrie Chisholm practices at 1003 E Main St Ste 104, Medford, OR 97504. The listed phone number is (541) 326-4905.

What is Carrie Chisholm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carrie Chisholm was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.