Active NPI
Wade Counseling and Mentoring Services
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
National Provider Identifier
1033753314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.