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

Jeremy Molck

Individual provider Counselor · NPI 1700500790

Jeremy Molck is a Mental Health Counselor in Medford, Oregon. Qualified in 2018, 8 years ago. Registered with an NPI since 2022.

Years since qualifying
8
In the registry since
2022
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Practice location Address checks out

503 Airport Rd Ste 101
Medford, OR 97504-4159
Phone: (541) 200-2900
Fax: (541) 200-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence PROFESSIONALLICENSE

Record details

NPI number1700500790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 10, 2023
Certification dateOctober 3, 2022
Mailing address3587 Heathrow Way, Medford, OR 97504-4004

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Medford