ROGUE HOLISTIC THERAPY
NPI 1881285658
Social Worker - Clinical in Medford, OR

Active since February 03, 2021
713 S RIVERSIDE AVE, MEDFORD, OR 97501(541) 203-0055(541) 227-2356 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Feb 3, 2021 (2 updates tracked since 2021).

About Rogue Holistic Therapy NPPES

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

ROGUE HOLISTIC THERAPY (NPI 1881285658) is a healthcare organization registered as a clinical in Medford, Oregon and active in the NPI registry since February 2021. The organization lists Coriann Matthews, Owner, as its authorized official.

NPPES Registry Identity

NPI1881285658
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROGUE HOLISTIC THERAPY
Location Address713 S RIVERSIDE AVEMedford, OR 97501-7837
Mailing AddressPo Box 631Medford, OR 97501-0043 · (541) 203-0055 · Fax (541) 227-2356
Fax(541) 227-2356
Organization SubpartNo
Authorized OfficialCoriann MatthewsOwner · (541) 324-3173
Enumeration DateFebruary 3, 2021
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1881285658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
713 S RIVERSIDE AVE, Medford, OR 97501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rogue Holistic Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rogue Holistic Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1497181994
713 S RIVERSIDE AVE
Medford, OR 97501
(541) 203-0056
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1336722651
713 S RIVERSIDE AVE
Medford, OR 97501
(541) 203-0055
✔ PECOS1.0 mi
Marriage and Family Therapist
NPI 1235489154
4310 NE KILLINGSWORTH ST
Portland, OR 97218
(503) 535-1181
✔ PECOS✔ Accepts Medicare224 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rogue Holistic Therapy's NPI number?

The NPI number for Rogue Holistic Therapy is 1881285658. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Rogue Holistic Therapy located?

Rogue Holistic Therapy is located at 713 S Riverside Ave, Medford, OR 97501. The listed phone number is (541) 203-0055.

What is Rogue Holistic Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rogue Holistic Therapy enrolled in Medicare?

Yes. Rogue Holistic Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rogue Holistic Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rogue Holistic Therapy, in Clinical Social Worker and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rogue Holistic Therapy accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rogue Holistic Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rogue Holistic Therapy was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.