JENNIFER MIATKE MA LPC CADCI NPI 1275926305

NPI Information

NPI: 1275926305
Provider Name: JENNIFER MIATKE, MA, LPC, CADCI
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
200 BEATTY ST
MEDFORD, OR
ZIP 97501
Phone: (541) 476-2373
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Jennifer Miatke, MA, LPC, CADCI is a professional counselor in Medford, OR. Jennifer Miatke, MA, LPC, CADCI NPI is 1275926305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 BEATTY ST
MEDFORD, OR
ZIP 97501-811
Phone: (541) 476-2373

The enumeration date for this NPI number is 3/13/2015 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C3620	OREGON	No
2	101YP2500X	Counselor	Professional	C3620	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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