OrganizationActive
Jackson County Community Justice
NPI 1649645151 · Counselor · Medford, OR
Jackson County Community Justice is a Counselor organization in Medford, OR (NPI 1649645151).
Provider details
- NPI number
- 1649645151
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Donald Mickey, Supervisor(541) 774-4812
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
609 W 10th St
Medford, OR 97501-3106
Phone: (541) 774-4812
Fax: (541) 774-4888
Street-level locationGet directions
Mailing address
609 W 10th St
Medford, OR 97501-3106
Other names (DBA / former)
- Other name
- Juvenile Division Cbt Program
Registry dates
- Enumerated
- 2015-12-09
- Last updated
- 2015-12-09
Frequently asked questions
- What is Jackson County Community Justice's NPI number?
- Jackson County Community Justice's National Provider Identifier (NPI) is 1649645151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson County Community Justice?
- Jackson County Community Justice is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Jackson County Community Justice located?
- Jackson County Community Justice's practice location on file with NPPES is 609 W 10th St, Medford, OR 97501-3106.
- What is Jackson County Community Justice's phone number?
- The practice phone number listed in the NPPES registry for Jackson County Community Justice is (541) 774-4812.
- Who is the authorized official for Jackson County Community Justice?
- The authorized official listed on Jackson County Community Justice's NPPES record is Donald Mickey, Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson County Community Justice's NPI active?
- Yes — Jackson County Community Justice's NPI (1649645151) is active in the NPPES registry as of the last update on 2015-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.