JANETTE FAY MYDLAND MS, C10678
NPI 1902131352
Counselor - Professional in Roseburg, OR

Active since October 02, 2009PECOS EnrolledAccepts Medicare Assignment
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janette Fay Mydland Ms, C10678 NPPES

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

JANETTE FAY MYDLAND MS, C10678 (NPI 1902131352) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (C10678) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902131352
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJANETTE FAY MYDLANDCredential: MS, C10678
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address621 W Madrone StRoseburg, OR 97470-3090 · (541) 440-3532
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 2, 2009
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1902131352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in OR · C10678 Licensed in WY · LPC-1293
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHPC-001646 (OR), LPC-2465 (WY)
621 W MADRONE ST, Roseburg, OR 97470

Secondary Practice Locations 2

Location 11221 W 5th StSheridan, WY 82801 · Phone (307) 674-4405 ext. 122 · Fax (307) 673-5167
Location 21790 W 11th Ave Ste AEugene, OR 97402-3780 · Phone (541) 868-0661 ext. 133 · Fax (541) 868-0660

Other Identifiers 1

Medicaid5000863088OR

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

Janette Fay Mydland Ms, C10678 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 ID1456703172
PECOS Enrollment IDI20260312002412
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 20

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

Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470

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 Janette Mydland's NPI number?

The NPI number for Janette Mydland is 1902131352. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Where is Janette Mydland located?

Janette Mydland practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Janette Mydland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Janette Mydland enrolled in Medicare?

Yes. Janette Mydland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Janette Mydland accept?

Health plans from UnitedHealthcare list Janette Mydland 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 Janette Mydland was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.