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JUVENILE DIVISION CBT PROGRAM
NPI 1649645151
Counselor in Medford, OR

Active since December 09, 2015
609 W 10TH ST, MEDFORD, OR 97501(541) 774-4812(541) 774-4888 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juvenile Division Cbt Program NPPES

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

JUVENILE DIVISION CBT PROGRAM (NPI 1649645151) is a healthcare organization registered as a counselor in Medford, Oregon and active in the NPI registry since December 2015. The organization lists Donald Scott Mickey, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1649645151
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameJACKSON COUNTY COMMUNITY JUSTICE
Location Address609 W 10TH STMedford, OR 97501-3106
Mailing Address609 W 10th StMedford, OR 97501-3106 · (541) 774-4812 · Fax (541) 774-4888
Phone(541) 774-4812
Fax(541) 774-4888
Organization SubpartNo
Authorized OfficialDonald Scott MickeySupervisor · (541) 774-4812
Enumeration DateDecember 9, 2015
✔ NPI 1649645151 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 Names 1

Other NameJuvenile Division Cbt Program

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jackson County Community Justice's NPI number?

The NPI number for Jackson County Community Justice is 1649645151. It was assigned to this organization in the NPPES registry on December 9, 2015. The provider is also known as Juvenile Division Cbt Program.

Where is Jackson County Community Justice located?

Jackson County Community Justice is located at 609 W 10th St, Medford, OR 97501. The listed phone number is (541) 774-4812.

What is Jackson County Community Justice'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 Jackson County Community Justice was last updated on December 9, 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.