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MRS. AUTUMN ELIZABETH GRACE BENNETT CADC-R
NPI 1497293500
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since February 09, 2017
300 W MAIN ST, MEDFORD, OR 97501(541) 200-2391 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Feb 9, 2017 (2 updates tracked since 2017).

About Mrs. Autumn Elizabeth Grace Bennett Cadc-r NPPES

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

MRS. AUTUMN ELIZABETH GRACE BENNETT CADC-R (NPI 1497293500) is an individual addiction (substance use disorder) provider in Medford, Oregon and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1497293500
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. AUTUMN ELIZABETH GRACE BENNETTCredential: CADC-R
Location Address300 W MAIN STMedford, OR 97501-2756
Mailing Address113 Willamette AveMedford, OR 97504-7428 · (541) 941-1149
Phone(541) 200-2391
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1497293500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedTechnician, Health InformationTaxonomy 247000000X
300 W MAIN ST, Medford, OR 97501
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Other Names 1

Former Name (1)Autumn Bennett Autumn Wilson

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.

SHOSHANNA NOELLE LANE
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MISS BRENDA PALOMERA
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MONICA BOONE
Technician, Health Information
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-4648
JOSUE R GUERRERO CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
CODY J DOLLARHIDE
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
SHERRI LEE LANDRENEAU CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (547) 772-1777
ARCHANA N SUNDAR
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 237-5059
KAYLA LUSK
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 200-2414

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 Autumn Bennett's NPI number?

The NPI number for Autumn Bennett is 1497293500. It was assigned to this individual provider in the NPPES registry on February 9, 2017. The provider is also known as Autumn Bennett Autumn Wilson.

Where is Autumn Bennett located?

Autumn Bennett practices at 300 W Main St, Medford, OR 97501. The listed phone number is (541) 200-2391.

What is Autumn Bennett'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 Autumn Bennett was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.