JENNINGS LODGE
NPI 1508126368
Community Based Residential Treatment Facility, Mental Illness in Medford, OR

Active since May 25, 2012
3587 HEATHROW WAY, MEDFORD, OR 97504(541) 858-8170 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennings Lodge NPPES

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

JENNINGS LODGE (NPI 1508126368) is a healthcare organization registered as a community based residential treatment facility, mental illness in Medford, Oregon and active in the NPI registry since May 2012. The organization lists Robert Beckett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508126368
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address3587 HEATHROW WAYMedford, OR 97504-4004
Mailing Address4545 Se Ina AveMilwaukie, OR 97267-5916 · (541) 858-8170
Organization SubpartNo
Authorized OfficialRobert BeckettExecutive Director · (541) 858-8170
Enumeration DateMay 25, 2012
✔ NPI 1508126368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3587 HEATHROW WAY, Medford, OR 97504

Other Names 1

Doing Business AsJennings Lodge

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennings Lodge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Jennings Lodge, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker5
Mental Health Counselor4
Psychiatry1

Clinicians, nearest first (10)

Psychiatry
NPI 1902003080
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1700500790
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1043844327
670 SUPERIOR CT STE 103
Medford, OR 97504
(541) 414-4931
✔ PECOS✔ Accepts Medicare2.4 mi
Clinical Social Worker
NPI 1992194302
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare2.8 mi
Mental Health Counselor
NPI 1770227860
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Social Worker
NPI 1801127840
1224 N MODOC AVE UNIT 47
Medford, OR 97504
(970) 373-8276
✔ PECOS✔ Accepts Medicare2.9 mi
Mental Health Counselor
NPI 1417563388
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS2.9 mi
Mental Health Counselor
NPI 1689811879
95 ERICKSON AVE UNIT 95A
Shady Cove, OR 97539
(541) 630-4727
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1508428426
3880 SE 8TH AVE STE 180
Portland, OR 97202
(503) 545-6798
✔ PECOS✔ Accepts Medicare216 mi
Clinical Social Worker
NPI 1629328117
17640 NE HALSEY ST
Portland, OR 97230
(503) 489-5045
✔ PECOS219 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Columbiacare Services's NPI number?

The NPI number for Columbiacare Services is 1508126368. It was assigned to this organization in the NPPES registry on May 25, 2012. The provider is doing business as Jennings Lodge.

Where is Columbiacare Services located?

Columbiacare Services is located at 3587 Heathrow Way, Medford, OR 97504. The listed phone number is (541) 858-8170.

What is Columbiacare Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Columbiacare Services enrolled in Medicare?

Yes. Columbiacare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbiacare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Columbiacare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Mental Health Counselor (4) and Psychiatry (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Columbiacare Services was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.