Individual provider Active NPI

Dragosh Negrea, MSW, CSWA, CADC 2

  • Mental Health Counselor
  • Astoria, OR
National Provider Identifier
1093270779
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
115 W Bond St
Astoria, OR 97103-6009
Phone
(503) 325-5722
Fax
(503) 861-2043
NPI assigned
Feb 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

115 W Bond St
Astoria, OR 97103-6009

Mailing address

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371
Phone (503) 325-5722

Other identifiers 1

IdentifierTypeStateIssuer
101YA0400XMedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010003068 OR Practitioner - Clinical Social Worker 9931585288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Clatsop Behavioral HealthcareGroup PAC ID 1355336454, 9 clinicians

Practice addresses (Care Compare)

115 W Bond St
Astoria, OR 97103-6009
Phone 5033255722268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clatsop Behavioral Healthcare Addiction (Substance Use Disorder) CurrentSince Jun 30, 2022 Accepting new patients
University Professional Services Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

115 W Bond St
Astoria, OR 97103
Phone 5033255722268

65 N Highway 101
Ste 204
Warrenton, OR 97146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1093270779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BOND ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036009",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGREA",
        "first_name": "DRAGOSH",
        "credential": "MSW, CSWA, CADC 2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YA0400X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.