Individual provider Active NPI

Ricardo Olalde, MS, CADC III, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1013329911
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
96-04-144 Issued in OR
Practice address
Freedom & Recovery Program a D Program
3405 Deer Park Dr. SE
Salem, OR 97310-0001
Phone
(503) 373-7758
Fax
(503) 378-6525
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 96-04-144 OR Primary

Addresses

Primary practice location

Freedom & Recovery Program a D Program
3405 Deer Park Dr. SE
Salem, OR 97310-0001

Mailing address

PO Box 356
Falls City, OR 97344-0356
Phone (503) 373-7758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Consultants, LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1013329911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "FALLS CITY",
            "state": "OR",
            "postal_code": "973440356",
            "telephone_number": "503-373-7758",
            "fax_number": "503-301-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FREEDOM & RECOVERY PROGRAM A D PROGRAM",
            "address_2": "3405 DEER PARK DR. SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973100001",
            "telephone_number": "503-373-7758",
            "fax_number": "503-378-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALDE",
        "first_name": "RICARDO",
        "credential": "MS, CADC III, CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "96-04-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.