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JEAN NICHOLAS
NPI 1619340866
Counselor in Medford, OR

Active since November 10, 2015
609 W 10TH ST, MEDFORD, OR 97501(541) 774-4849(541) 774-4888 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Nicholas NPPES

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

JEAN NICHOLAS (NPI 1619340866) is an individual counselor in Medford, Oregon and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1619340866
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJEAN NICHOLAS
Location Address609 W 10TH STMedford, OR 97501-3106
Mailing Address609 W 10th StMedford, OR 97501-3106 · (541) 774-4849 · Fax (541) 774-4888
Phone(541) 774-4849
Fax(541) 774-4888
Sole ProprietorNo
Enumeration DateNovember 10, 2015
✔ NPI 1619340866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
609 W 10TH ST, Medford, OR 97501
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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.

HUNTER KLUG
Behavior Analyst
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810
JACK WALKER
Behavior Technician
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810
ALLISON ROSE GIDA
Case Manager/Care Coordinator
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810
MARY RAFKA
Behavior Analyst
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810
TRAVIS RUSH
Counselor
609 W 10TH ST
MEDFROD, OR 97501
Jackson County (541) 774-4810
MR. MATTHEW SPIVEY
Counselor
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810
ARNO BOER
Behavior Analyst
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4800
ALEXANDER LEFFLER
Counselor
609 W 10TH ST
MEDFORD, OR 97501
Jackson County (541) 774-4810

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 Jean Nicholas's NPI number?

The NPI number for Jean Nicholas is 1619340866. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Jean Nicholas located?

Jean Nicholas practices at 609 W 10th St, Medford, OR 97501. The listed phone number is (541) 774-4849.

What is Jean Nicholas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jean Nicholas was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.