Summit View Therapy LLC
Counselor, Mental Health in Medford, OR. Organization (NPI-2).
NPI number1073497152
StatusActive
Last updated in NPPESAug 2, 2025
Details
- NPI
- 1073497152
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit View Therapy LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2025
- Certification date
- Aug 2, 2025
- Last updated
- Aug 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
318 S Grape StMedford, OR 97501-3147
Phone 541-500-8655 · Fax 800-433-1396
Mailing address
Po Box 1787Medford, OR 97501-0261
Phone 541-500-8655 · Fax 800-433-1396
Authorized official
Lauren Diaz
Owner
4802364820
Is something wrong?
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