Active NPI
Joseph K Chow, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1013528603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22-07-20186
- Practice address
- 12121 E Burnside St
Portland, OR 97216-3737 - Phone
- (866) 231-3007
- NPI assigned
- Aug 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-09-19 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22-07-20186 | OR | Primary |
Addresses
Primary practice location
12121 E Burnside St
Portland, OR 97216-3737
Mailing address
12121 E Burnside St
Portland, OR 97216-3737
Phone (971) 361-7867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19-09-19 | Other | OR | MHACBO |
| 22-07-20186 | Other | OR | MHACBO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659139200000",
"number": "1013528603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163737",
"telephone_number": "971-361-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163737",
"telephone_number": "866-231-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "JOSEPH",
"middle_name": "K",
"credential": "CADC-II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-16",
"last_updated": "2022-07-30",
"certification_date": "2022-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-09-19",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "22-07-20186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHACBO",
"identifier": "19-09-19",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHACBO",
"identifier": "22-07-20186",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.