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JANESSA KYLENE HEADLEY QMHA
NPI 1740970169
Counselor - Mental Health in Medford, OR

Active since May 09, 2023
1911 HAZEL AVE, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, May 9, 2023 (2 updates tracked since 2023).

About Janessa Kylene Headley Qmha NPPES

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

JANESSA KYLENE HEADLEY QMHA (NPI 1740970169) is an individual mental health provider in Medford, Oregon and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1740970169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJANESSA KYLENE HEADLEYCredential: QMHA
Location Address1911 HAZEL AVEMedford, OR 97501-1630
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateMay 9, 2023
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1740970169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1204639 (OR)
1911 HAZEL AVE, 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.

KERSTIN EPIFANIO
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
COLTON BRYCE CHRISTIAN B.S.
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
MS. CHERIE D MOORE
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
TINA TIMMONS
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
JCMH - HAZEL CENTER
Case Management
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
OLIVER SAFOTU
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 476-2373
JONATHAN HARPER BA, MA
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3952
MS. FARRAH LYNNE O'BRIEN
Social Worker
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950

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 Janessa Headley's NPI number?

The NPI number for Janessa Headley is 1740970169. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Janessa Headley located?

Janessa Headley practices at 1911 Hazel Ave, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Janessa Headley'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 Janessa Headley was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.