Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Miatke, MA, LPC, MDIV, CADCI

Individual provider Mental Health Counselor · NPI 1275926305

Jennifer Miatke, MA, LPC, MDIV, CADCI is a Mental Health Counselor in Medford, Oregon. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

18 Portland Ave
Medford, OR 97504-7309
Phone: (541) 613-2697
Fax: (541) 245-1530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C3620 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence C3620 (OR)

Record details

NPI number1275926305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , MDIV , CADCI
Sole proprietorYes
NPI enumeratedMarch 13, 2015
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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