COUNTY OF JACKSON
NPI 1710933379
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR

Active since May 25, 2006
140 SOUTH HOLLY STREET, MEDFORD, OR 97501(541) 774-8200(541) 774-7964 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About County Of Jackson NPPES

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

COUNTY OF JACKSON (NPI 1710933379) is a healthcare organization registered as a mental health (including community mental health center) in Medford, Oregon and active in the NPI registry since May 2006. The organization lists Mark Jerry Orndoff, Director, as its authorized official.

NPPES Registry Identity

NPI1710933379
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF JACKSON
Location Address140 SOUTH HOLLY STREETMedford, OR 97501
Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964
Fax(541) 774-7964
Organization SubpartNo
Authorized OfficialMark Jerry OrndoffDirector · (541) 774-8200
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 11, 2014
✔ NPI 1710933379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 200250069NP (OR)
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
140 SOUTH HOLLY STREET, Medford, OR 97501

Other Identifiers 6

Medicare ID-Type UnspecifiedR0000WCJFFOR
Medicaid193870OR
Medicaid043153OR
Medicaid096883OR
Medicaid096727OR
Medicaid320176OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to County Of Jackson, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Psychiatry
NPI 1558652693
140 S HOLLY ST
Medford, OR 97501
(541) 774-8201
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1083699011
140 SOUTH HOLLY STREET
Medford, OR 97501
(541) 774-8200
✔ PECOSSame address
Clinical Social Worker
NPI 1245659986
140 SOUTH HOLLY STREET
Medford, OR 97501
(541) 774-8200
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891730826
221 W STEWART AVE STE 101
Medford, OR 97501
(541) 690-3500
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1952605115
980 SW 6TH ST STE 19A
Grants Pass, OR 97526
(541) 476-7688
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1063701126
6400 SE LAKE RD STE 155
Portland, OR 97222
(971) 368-9292
✔ PECOS✔ Accepts Medicare215 mi
Psychiatry
NPI 1003842832
3710 SW US VETERANS HOSPITAL RD
Portland, OR 97239
(503) 721-1440
✔ PECOS✔ Accepts Medicare219 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 County Of Jackson's NPI number?

The NPI number for County Of Jackson is 1710933379. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is County Of Jackson located?

County Of Jackson is located at 140 South Holly Street, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is County Of Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is County Of Jackson enrolled in Medicare?

Yes. County Of Jackson is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Jackson?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to County Of Jackson. 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 (3), Psychiatry (2) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list County Of Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Jackson was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.