Active NPI
Bret Markus Olsen, CADC I
- Addiction (Substance Use Disorder) Counselor
- Wilsonville, OR
National Provider Identifier
1013331065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13-12-32
- Practice address
- 9450 SW Commerce Cir
Wilsonville, OR 97070-8855 - Phone
- (503) 682-7744
- Fax
- (503) 682-3384
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13-12-32 | OR | Primary |
Addresses
Primary practice location
9450 SW Commerce Cir
Wilsonville, OR 97070-8855
Mailing address
9450 SW Commerce Cir Ste 312
Wilsonville, OR 97070-8858
Phone (503) 682-7744
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Treatment & Counseling Services, Inc | 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.
-
- Community/Behavioral Health Agency
- Wilsonville, OR
- NPI 1811267420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1013331065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 SW COMMERCE CIR STE 312",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708858",
"telephone_number": "503-682-7744",
"fax_number": "503-682-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 SW COMMERCE CIR",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708855",
"telephone_number": "503-682-7744",
"fax_number": "503-682-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "BRET",
"middle_name": "MARKUS",
"credential": "CADC I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "13-12-32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.