Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOHN RICHARD MAZARELLA LPC, CADC III
NPI 1861801797
Counselor - Professional in Ashland, OR

Active since August 05, 2014PECOS EnrolledAccepts Medicare Assignment
611 SISKIYOU BLVD, ASHLAND, OR 97520(541) 476-2373 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 9, 2024, Jul 10, 2019 (2 updates tracked since 2019).

About John Richard Mazarella Lpc, Cadc Iii NPPES

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

JOHN RICHARD MAZARELLA LPC, CADC III (NPI 1861801797) is an individual professional provider in Ashland, Oregon, licensed in Oregon (C5382) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gladstone, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861801797
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN RICHARD MAZARELLACredential: LPC, CADC III
Location Address611 SISKIYOU BLVDAshland, OR 97520-2151
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 5, 2014
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1861801797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C5382
611 SISKIYOU BLVD, Ashland, OR 97520

Secondary Practice Location 1

Location 1890 82nd DrGladstone, OR 97027-1803 · Phone (971) 229-4009

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Richard Mazarella Lpc, Cadc Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204286982
PECOS Enrollment IDI20250410002789
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
611 SISKIYOU BLVD, SUITE 10
ASHLAND, OR 97520
Counselor (Mental Health)
611 SISKIYOU BLVD, SUITE 8
ASHLAND, OR 97520
Counselor (Addiction (Substance Use Disorder))
611 SISKIYOU BLVD, SUITE 8
ASHLAND, OR 97520
Counselor (Addiction (Substance Use Disorder))
611 SISKIYOU BLVD, SUITE 8
ASHLAND, OR 97520
Counselor (Addiction (Substance Use Disorder))
611 SISKIYOU BLVD, SUITE 8
ASHLAND, OR 97520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861801797, enumerated as an "individual" on August 05, 2014.

The provider is located at 611 SISKIYOU BLVD ASHLAND, OR 97520 and the phone number is (541) 476-2373.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.