MR. DAVID J MORTELLARO
NPI 1306129804
Counselor - Mental Health in Medford, OR

NPI Status: Active since September 21, 2011

Contact Information

140 SOUTH HOLLY STREET
MEDFORD, OR
ZIP 97501
Phone: (541) 774-8200
Fax: (541) 774-7964

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  • Individual
  • Male
  • Counselor
  • Mental Health

About DAVID MORTELLARO

This page provides the complete NPI Profile along with additional information for David Mortellaro, a provider established in Medford, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1306129804 assigned on September 2011. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1306129804
Provider Name
MR. DAVID J MORTELLARO
Gender
Male
Entity Type
Individual
Location Address
140 SOUTH HOLLY STREET MEDFORD, OR 97501
Location Phone
(541) 774-8200
Location Fax
(541) 774-7964
Mailing Address
140 SOUTH HOLLY STREET MEDFORD, OR 97501
Mailing Phone
(541) 774-8200
Mailing Fax
(541) 774-7964
Is Sole Proprietor?
No
Enumeration Date
09-21-2011
Last Update Date
12-19-2014
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A mental health counselor like David Mortellaro provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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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.
1306129804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306221880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 2 + 2 + 1 + 8 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1306129804 is valid because the calculated check digit 4 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
1407843725DR. LUIS FELIX OXHOLM D.O.
Individual
Psychiatry & Neurology (Psychiatry)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1083699011MR. RICHARD CARTER RAWLINS LCSW
Individual
Social Worker (Clinical)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710933379COUNTY OF JACKSON
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1861428708 LISA R TRIPLETT FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1619047230 STACY JO BRUBAKER CSW
Individual
Social Worker140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1376694182MS. PATRICIA ANN ANDRIES NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1740401124 MARY TERESA KNAUF
Individual
Registered Nurse (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710179734 JAMES GORDON SHAMES M.D.
Individual
Family Medicine140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1578889986 KAREN SACHITANO RN, BSN
Individual
Registered Nurse (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1548589427 LAUREL RAE MAY MS, LPC
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1922310606MR. SHANE ELIOT SEMIN CADCI
Individual
Counselor (Addiction (Substance Use Disorder))140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1538463062 LAURA BRIDGES LCSW, QMHP
Individual
Social Worker (Clinical)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1720382229 LISA ELLEN ODEGAARD MA, MFT
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1568766814MRS. HEATHER DANNIELLE THOMPSON M.S.
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1336443605 SHELLI PIVER
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710281068 CHRISTINE SEIDL FORSYTHE BS
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1891099123 LORNA DIANE ANDERSON
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1720382831 EVONNE MAXINE HUBBARD
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1285938340MRS. WODENA FAY GRABOWSKI
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1326342437MR. JEFFERY ALLAN HATHAWAY
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306129804, enumerated in the NPI registry as an "individual" on September 21, 2011

The provider is located at 140 South Holly Street Medford, Or 97501 and the phone number is (541) 774-8200

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on September 21, 2011. 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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