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LISA ELLEN ODEGAARD MA, MFT
NPI 1720382229
Counselor - Mental Health in Medford, OR

Active since December 27, 2010
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: August 02, 2026.

About Lisa Ellen Odegaard Ma, Mft NPPES

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

LISA ELLEN ODEGAARD MA, MFT (NPI 1720382229) is an individual mental health provider in Medford, Oregon, licensed in California (MFC # 30449) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1720382229
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA ELLEN ODEGAARDCredential: MA, MFT
Location Address140 SOUTH HOLLY STREETMedford, OR 97501
Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964
Phone(541) 774-8200
Fax(541) 774-7964
Sole ProprietorNo
Enumeration DateDecember 27, 2010
Last NPPES UpdateDecember 11, 2014
✔ NPI 1720382229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC # 30449
140 SOUTH HOLLY STREET, 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.

PAULA M WEBB
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
LINDA YOUNG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARI CARMEN GALEANA MA QMHP
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARCO ROBERT MARTIN
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
TRAVIS SCOTT BURCH
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 500-8655
KATRINA LYNN HARPER
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
CAITLIN LAWSON
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 771-8200
JILL NICOLE JETER
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200

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 Lisa Odegaard's NPI number?

The NPI number for Lisa Odegaard is 1720382229. It was assigned to this individual provider in the NPPES registry on December 27, 2010.

Where is Lisa Odegaard located?

Lisa Odegaard practices at 140 South Holly Street, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Lisa Odegaard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Odegaard 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.