JEREMY MOLCK
NPI 1700500790
Counselor in Medford, OR

Q: What is Jeremy Molck's NPI number?

The NPI number for Jeremy Molck is 1700500790. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Q: What is Jeremy Molck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Molck was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 03, 2022PECOS Enrolled

503 AIRPORT RD STE 101, MEDFORD, OR 97504(541) 200-2900(541) 200-2948 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2023, Oct 3, 2022 (2 updates tracked since 2022).

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About Jeremy Molck NPPES

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

JEREMY MOLCK (NPI 1700500790) is an individual counselor in Medford, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700500790

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEREMY MOLCK

Location Address503 AIRPORT RD STE 101Medford, OR 97504-4159

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170

Phone(541) 200-2900

Fax(541) 200-2948

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 3, 2022

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1700500790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed · PROFESSIONALLICENSE

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.

503 AIRPORT RD STE 101, Medford, OR 97504

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3476059700

PECOS Enrollment IDI20251003003997

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Molck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbiacare Services Inc

Same address

Adult Mental Health

503 AIRPORT RD STE 101
Medford, OR 97504

Reassigned Medicare billing, Oregon enrollment
10 clinicians in this Medicare group

NPI 1992223630 (541) 858-8170

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

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.

LINDSEY MICHELLE PERSINGER

Counselor (Mental Health)