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JACKSON COUNTY MENTAL HEALTH
NPI 1780988253
Community Based Residential Treatment Facility, Mental Illness in Medford, OR

Active since December 27, 2010
1911 HAZEL AVE, MEDFORD, OR 97501(541) 734-3953 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson County Mental Health NPPES

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

JACKSON COUNTY MENTAL HEALTH (NPI 1780988253) is a healthcare organization registered as a community based residential treatment facility, mental illness in Medford, Oregon and active in the NPI registry since December 2010. The organization lists Gordon A Norman, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1780988253
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameJACKSON COUNTY MENTAL HEALTH
Location Address1911 HAZEL AVEMedford, OR 97501-1630
Mailing Address1911 Hazel AveMedford, OR 97501-1630 · (541) 734-3953
Phone(541) 734-3953
Organization SubpartNo
Authorized OfficialGordon A NormanProgram Manager · (541) 734-3952
Enumeration DateDecember 27, 2010
✔ NPI 1780988253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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 Jackson County Mental Health's NPI number?

The NPI number for Jackson County Mental Health is 1780988253. It was assigned to this organization in the NPPES registry on December 27, 2010.

Where is Jackson County Mental Health located?

Jackson County Mental Health is located at 1911 Hazel Ave, Medford, OR 97501. The listed phone number is (541) 734-3953.

What is Jackson County Mental Health's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Jackson County Mental Health was last updated on December 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.