JACKSON
NPI 1043751597
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR
NPI Status: Active since March 16, 2017
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
About JACKSON
This page provides the complete NPI Profile along with additional information for Jackson, a provider established in Medford, Oregon operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043751597 assigned on March 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Jackson. The authorized official of this NPI record is Karla Mccafferty Mpa (Executive Director)
- NPI
- 1043751597
- Provider Legal Name
- OPTIONS FOR SOUTHERN OREGON
- Other Organization Name
- JACKSON
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 200 BEATTY ST MEDFORD, OR 97501
- Location Phone
- (541) 476-2373
- Mailing Address
- 1215 SW G ST GRANTS PASS, OR 97526
- Mailing Phone
- (541) 476-2373
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2017
- Last Update Date
- 12-16-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for JACKSON
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 7 | 5 | 1 | 5 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 14 | 5 | 2 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 4 + 5 + 2 + 5 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1043751597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194375428 | ERICA CHRISTINE RENNICK BAI Individual | Behavior Technician | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1952774101 | DONALD SCOTT MICKEY BS Individual | Case Manager/Care Coordinator | 200 BEATTY ST MEDFORD, OR 97501 (541) 774-4812 |
| 1679115893 | MR. JASON WARD WILEMAN BS, QMHA Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1780226100 | JENNIFER LEE DAMON PSS Individual | Peer Specialist | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1821631268 | MRS. JOHANNA ERIN WARD BA, QMHA Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1528606456 | MR. ERIN LYNN DOZHIER QMHA Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1841839172 | MRS. AUDREY WHITFORD Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1578040424 | BRIAN FITZPATRICK RN Individual | Registered Nurse | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1891855268 | DR. DIANE LYNN DUBOW PH.D. Individual | Psychologist | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1427686021 | RICHARD JOSEPH MCCLEARY Individual | Peer Specialist | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1568715456 | MALIA JOHNSON DNP, FNP Individual | Nurse Practitioner (Family) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1275048555 | LACEY A REAVES Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1295358018 | ADAM PETERSON CADC III, CSWA Individual | Counselor (Addiction (Substance Use Disorder)) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1609493873 | HEATHER MARIE GETZ Individual | Peer Specialist | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1467061846 | AMANDA LOUISE CONSTABLE QMHA Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1902417116 | DEICI ESTEFANI CRUZ DE PAZ QMHA Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1467821876 | HARVEY DEAN BRAGG II SOCIAL WORKER Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1003415647 | KATHERINE LEONIS RN Individual | Registered Nurse | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1679931232 | SARAH MAE GORHAM Individual | Counselor (Mental Health) | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
| 1346899259 | JENNIFER LEE SCHELL Individual | Peer Specialist | 200 BEATTY ST MEDFORD, OR 97501 (541) 476-2373 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043751597, enumerated in the NPI registry as an "organization" on March 16, 2017
The provider is located at 200 Beatty St Medford, Or 97501 and the phone number is (541) 476-2373
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 16, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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