1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Counselor
  6. NPI Profile

TIKI CHARVAT
NPI 1841969144
Counselor - Mental Health in Medford, OR

Active since September 09, 2021
3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 858-8170(541) 858-8167 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2023, Sep 9, 2021 (2 updates tracked since 2021).

About Tiki Charvat NPPES

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

TIKI CHARVAT (NPI 1841969144) is an individual mental health provider in Medford, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1841969144
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIKI CHARVAT
Location Address3200 JUANIPERO WAYMedford, OR 97504-8580
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 858-8170
Fax(541) 858-8167
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1841969144 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 · PROFESSIONALLICENSE
3200 JUANIPERO WAY, Medford, OR 97504
Open in Google Maps ↗

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.

JENNIFER LYNN BURNETT CASTILLO
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
COLUMBIACARE SERVICES
Clinic/Center
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
KARRYN DANIELLE OLSON
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
JUSTINE JEWEL COMPOMIZZI
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIZUKO TAKAMOTO
Massage Therapist
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
SARAH DEWOLF
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIRANDA J HEDGPETH
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
BRODERICK R STATES
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131

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 Tiki Charvat's NPI number?

The NPI number for Tiki Charvat is 1841969144. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Tiki Charvat located?

Tiki Charvat practices at 3200 Juanipero Way, Medford, OR 97504. The listed phone number is (541) 858-8170.

What is Tiki Charvat'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 Tiki Charvat was last updated on March 28, 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.