IndividualActive
Jennifer Miatke, MA, LPC, MDIV, CADCI
NPI 1275926305 · Professional Counselor · Medford, OR
Provider details
- NPI number
- 1275926305
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC, MDIV, CADCI
- Sex
- Female
- Sole proprietor
- Yes
- License
- C3620 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18 Portland Ave
Medford, OR 97504-7309
Phone: (541) 613-2697
Fax: (541) 245-1530
Street-level locationGet directions
Mailing address
15097 Highway 66
Ashland, OR 97520-9400
Registry dates
- Enumerated
- 2015-03-13
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.