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MR. JACOB JAMES HENDERSON
NPI 1528697596
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since April 02, 2020
777 MURPHY RD, MEDFORD, OR 97504(541) 772-2763(541) 734-3164 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Jacob James Henderson NPPES

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

MR. JACOB JAMES HENDERSON (NPI 1528697596) is an individual addiction (substance use disorder) provider in Medford, Oregon and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1528697596
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACOB JAMES HENDERSON
Location Address777 MURPHY RDMedford, OR 97504-8425
Mailing Address777 Murphy RdMedford, OR 97504-8425 · (541) 772-2763 · Fax (541) 734-3164
Phone(541) 772-2763
Fax(541) 734-3164
Sole ProprietorNo
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1528697596 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
777 MURPHY RD, Medford, OR 97504
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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.

COLLEEN TAYLOR
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
JOANNA ARFSTEN
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
RAEMY REINHARDT
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
CRYSTAL ROBINSON
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
NATHAN J MACDONALD
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
KERIANN ENSWORTH
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
COLE MATHEW ASHER
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
LESIE WOBIG
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763

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 Jacob Henderson's NPI number?

The NPI number for Jacob Henderson is 1528697596. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jacob Henderson located?

Jacob Henderson practices at 777 Murphy Rd, Medford, OR 97504. The listed phone number is (541) 772-2763.

What is Jacob Henderson'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 Jacob Henderson was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.