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Southern Oregon Cbt LLC

Clinical Psychologist in Jacksonville, OR · enumerated 2020 · authorized official Kacy Mullen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306456058

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Oregon Cbt LLC
Practice address 235 W Main St, Jacksonville, OR, 97530
Phone (541) 204-4933
Fax (800) 433-1396
Enumeration date Aug 7, 2020
Last updated in NPPES Oct 29, 2024

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Kacy Mullen
Title Owner
Phone (541) 500-8655

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southern Oregon Cbt LLC?
Southern Oregon Cbt LLC is registered in NPPES as a Clinical Psychologist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-29.