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AUTUMN BASIL ELAM
NPI 1942814801
Counselor - Mental Health in Medford, OR

Active since September 08, 2020
850 SWING LN UNIT 1, MEDFORD, OR 97501(541) 622-8592(541) 622-8593 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2023, Oct 30, 2020, Sep 8, 2020 (3 updates tracked since 2020).

About Autumn Basil Elam NPPES

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

AUTUMN BASIL ELAM (NPI 1942814801) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2020. He maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1942814801
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAUTUMN BASIL ELAM
Location Address850 SWING LN UNIT 1Medford, OR 97501-1790
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 622-8592
Fax(541) 622-8593
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1942814801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
850 SWING LN UNIT 1, Medford, OR 97501
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Secondary Practice Location 1

Location 12016 Terrel DrMedford, OR 97501-8154 · Phone (541) 622-8514 · Fax (541) 622-8515

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.

JOYCE RANDOLPH-MILNE
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 864-0095
DANIELLE R JOLLEY
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 858-8170
CATHERINE A ADAMS
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
CAMEIL FLOOD
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
HAILEY ANN BOROVAC
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
ROXANNE CHRISTINE ASHWORTH
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
MICHAEL MOORE
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
MICHAEL S GIBSON
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592

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 Autumn Elam's NPI number?

The NPI number for Autumn Elam is 1942814801. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Autumn Elam located?

Autumn Elam practices at 850 Swing Ln Unit 1, Medford, OR 97501. The listed phone number is (541) 622-8592.

What is Autumn Elam'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 Autumn Elam was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.