Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972881266 Individual Practitioner Female Practitioner

Ivy Joan Medow , COTA, L, CRC

Counselor • Florence, OR

Professional Overview & Biography Verified Profile Summary

Ivy Medow, COTA, L, CRC is a registered healthcare professional specializing in Counselor in Florence, OR. Practice services are available at 1657 36TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1657 36th St

Florence, OR 974398922

Telephone 4808374565
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Florence, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Florence, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C-6670

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License OR 25705

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Heather Maxson

Speech-Language Pathologist

NPI 1003074709
NPI 1013271097

SCHOOLPSYCHOLOGIST

Kristin Gorski , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033454558

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Alecia Weber , PT

Physical Therapist

NPI 1053908939

Physical Therapist

Jessie Erikson , MS

Speech-Language Pathologist

NPI 1063064616

Master of Science

Crystal Montemayor

Specialist/Technologist - Speech-Language Assistant

NPI 1063731792

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 16, 2025

Registered at 1657 36TH ST, FLORENCE, OR 974398922 (Tel: 4808374565)

📍
Updated Business Mailing Address October 16, 2025

Registered at 1657 36TH ST, FLORENCE, OR 974398922 (Tel: 4802296244)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2025

Counselor (License #C-6670 in OR)

NPI Profile Active August 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2011

Registered at 17100 E. SHEA BLVD., STARS, FOUNTAIN HILLS, AZ 85268 (Tel: 4808374565)

📍
Updated Business Mailing Address August 03, 2011

Registered at 2242 N 15TH ST, PHOENIX, AZ 850061723 (Tel: 4802296244)

👤
Provider Name / Credentials Updated August 03, 2011

Recorded as IVY MEDOW, COTA/L, CRC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2011

Occupational Therapy Assistant (License #1847 in AZ)

🟢
Initial NPI Registration & Enumeration August 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972881266
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2011
Last Update: October 16, 2025
Sole Proprietor: No

Mailing Address

1657 36th St

Florence, OR 974398922

Phone: 4802296244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.