Organization Active NPI

Wade Counseling and Mentoring Services

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
National Provider Identifier
1033753314
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WADE COUNSELING AND MENTORING SERVICES
Practice address
232 SW 6TH St
Grants Pass, OR 97526-2406
Phone
(541) 324-9186
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Kareem Wade, BIP, CPS, CADC I
Title
Ceo
Phone
(541) 324-9186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

232 SW 6TH St
Grants Pass, OR 97526-2406

Mailing address

232 SW 6TH St
Grants Pass, OR 97526-2406
Phone (541) 324-9186

Other practice location 1

418 NW 6th St Ste 102
Grants Pass, OR 97526-2006
Phone (541) 324-9186

National Provider Directory

National Provider Directory

Locations

232 SW 6th St
Grants Pass, OR 97526
Phone (541) 324-9186

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1033753314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262406",
            "telephone_number": "541-324-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262406",
            "telephone_number": "541-324-9186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 NW 6th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975262006",
            "country_code": "US",
            "telephone_number": "541-324-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WADE COUNSELING AND MENTORING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-324-9186",
        "authorized_official_credential": "BIP, CPS, CADC I"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.