| Trinity Counseling Center, Llc | |
|
815 E Jackson St Medford OR 97504-6713 | |
| (541) 245-2787 | |
| (541) 899-3243 |
| Full Name | Trinity Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 815 E Jackson St, Medford, Oregon |
| Authorized Official Name and Position | Gabriel Joel Mccoy (OWNER/MEMBER) |
| Authorized Official Contact | 5412452787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Counseling Center, Llc 815 E Jackson St Medford OR 97504-6713 Ph: (541) 245-2787 | Trinity Counseling Center, Llc 815 E Jackson St Medford OR 97504-6713 Ph: (541) 245-2787 |
| NPI Number | 1427209378 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 7113378159 |
|---|---|
| Medicare Enrollment ID | O20240104000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427209378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel Joel Mccoy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417168121 PECOS PAC ID: 8022469063 Enrollment ID: I20240104000173 |
| Provider Name | Gretchen H Ferreira |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740440783 PECOS PAC ID: 5294187563 Enrollment ID: I20240123001167 |
| Provider Name | Laura Parise Stanislawski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649532623 PECOS PAC ID: 8123471117 Enrollment ID: I20240125003408 |
| Provider Name | Kathleen Ann Compton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891215950 PECOS PAC ID: 2961845110 Enrollment ID: I20240205003722 |
| Provider Name | Judith C Labert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740561406 PECOS PAC ID: 0547603102 Enrollment ID: I20240210000260 |
| Provider Name | Carl Eugene Reimer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851557243 PECOS PAC ID: 5193169134 Enrollment ID: I20240219001601 |
| Provider Name | James Bradshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851783757 PECOS PAC ID: 3476997164 Enrollment ID: I20240221002603 |
| Provider Name | N. Athena Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538537188 PECOS PAC ID: 9335584648 Enrollment ID: I20240227000703 |
| Provider Name | Gregory Wayne Rich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225289622 PECOS PAC ID: 2365888708 Enrollment ID: I20240307004287 |
| Provider Name | Thomas Leigh Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124546858 PECOS PAC ID: 2365888526 Enrollment ID: I20240311000034 |
| Provider Name | April Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477902096 PECOS PAC ID: 3779929534 Enrollment ID: I20240314003555 |
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