Active NPI
Jon Steven Gieber, CADC II, M.S.
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1053606731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 84-10-04
- Practice address
- 1923 NE Broadway
Portland, OR 97232-1501 - Phone
- (503) 740-9478
- NPI assigned
- Jun 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84-10-04 | OR | Primary |
Addresses
Primary practice location
1923 NE Broadway
Portland, OR 97232-1501
Mailing address
24205 NE Alvas Rd
Battle Ground, WA 98604-9646
Phone (503) 740-9478
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1053606731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24205 NE ALVAS RD",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049646",
"telephone_number": "503-740-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 NE BROADWAY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321501",
"telephone_number": "503-740-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIEBER",
"first_name": "JON",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "CADC II, M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "84-10-04",
"primary": true
}
],
"identifiers": [],
"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 Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.