Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174668875 Individual Practitioner Female Practitioner

Jeanette Black

Case Management • Gold Beach, OR

Professional Overview & Biography Verified Profile Summary

Jeanette Black is a registered healthcare professional specializing in Case Management in Gold Beach, OR. Practice services are available at 29413 RUSSELL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29413 Russell St

Gold Beach, OR 974447748

Telephone 5412476566
Fax 5412476549
Associated Practice Facility / Clinic
🏢 Columbiacare Services Facility NPI 1609963842

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Management in Gold Beach, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Gold Beach, OR (22 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: 2026-03-11
Case Management Primary Specialty

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Eric Tengren

Case Manager/Care Coordinator

NPI 1033668454
Ashley Hawkins

Counselor - Mental Health

NPI 1083158315
Lois Shipley

Counselor - Mental Health

NPI 1104285675
Kelsey Taylor

Counselor - Mental Health

NPI 1134575590
David Keitel

Counselor - Mental Health

NPI 1134725906
Christen Jamsa

Counselor - Mental Health

NPI 1215452016

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2026

Case Management

📍
Updated Practice Location October 09, 2019

Registered at 29413 RUSSELL ST, GOLD BEACH, OR 974447748 (Tel: 5412476566)

📍
Updated Business Mailing Address October 09, 2019

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

NPI Profile Active March 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2011

Registered at 29821 COLVIN ST, GOLD BEACH, OR 974440746 (Tel: 5412474082)

📍
Updated Business Mailing Address March 03, 2011

Registered at 29821 COLVIN STREET, GOLD BEACH, OR 974440746 (Tel: 5412474082)

👤
Provider Name / Credentials Updated March 03, 2011

Recorded as JEANETTE BLACK

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

Counselor

🟢
Initial NPI Registration & Enumeration February 20, 2007

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: 1174668875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: March 11, 2026
Sole Proprietor: No

Mailing Address

3587 Heathrow Way

Medford, OR 975044004

Phone: 5418588170

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.