NPIMap

Organization Active NPI

Family Recovery, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Corvallis, OR
National Provider Identifier
1114067410
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A-159 Issued in OR
Legal business name
FAMILY RECOVERY, INC.
Doing business as
Milestones Family Recovery
Practice address
442 NW 4TH St
Corvallis, OR 97330-6491
Phone
(541) 738-6832
Fax
(541) 738-6410
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Mr. Michael S. Hanson, MS, CADC IINPI 1386961522
Title
Outpatient Program Manager
Phone
(541) 757-7534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X A-159 OR Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

442 NW 4TH St
Corvallis, OR 97330-6491

Mailing address

442 NW 4TH St
Corvallis, OR 97330-6491
Phone (541) 738-6832

Other names 1

  • Milestones Family Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1114067410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306491",
            "telephone_number": "541-738-6832",
            "fax_number": "541-738-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306491",
            "telephone_number": "541-738-6832",
            "fax_number": "541-738-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OUTPATIENT PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-757-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CADC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "A-159",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestones Family Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milestones Family Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.