Active NPI
Heather Jean Cole, CRM
- Addiction (Substance Use Disorder) Counselor
- Siletz, OR
National Provider Identifier
1023845575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24-CRM3607
- Practice address
- PO Box 320
Siletz, OR 97380-0320 - Phone
- (541) 444-8286
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- 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 | 24-CRM3607 | OR | Primary |
Addresses
Primary practice location
PO Box 320
Siletz, OR 97380-0320
Mailing address
PO Box 320
Siletz, OR 97380-0320
Phone (541) 444-8286
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-CRM3607 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- heather.cole.p1@direct.siletzhealthclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1023845575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320",
"city": "SILETZ",
"state": "OR",
"postal_code": "973800320",
"telephone_number": "541-444-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 320",
"city": "SILETZ",
"state": "OR",
"postal_code": "973800320",
"telephone_number": "541-444-8286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "HEATHER",
"middle_name": "JEAN",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "24-CRM3607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siletz, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.