NPIMap

Organization Active NPI

Four Rivers Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Ontario, OR
National Provider Identifier
1114664604
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
FOUR RIVERS RECOVERY
Practice address
1019 SW 3Rd Ave
Ontario, OR 97914-2125
Phone
(154) 123-9843
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Becky Jo Lloyd Hatfield
Title
Partner/ Operations and Office MGR
Phone
(154) 123-9843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1019 SW 3Rd Ave
Ontario, OR 97914-2125

Mailing address

1019 SW 3Rd Ave
Ontario, OR 97914-2125
Phone (541) 239-8436

Other names 1

  • Four Rivers Recovery LLC Other name

National Provider Directory

National Provider Directory

Locations

1019 SW 3rd Ave
Ontario, OR 97914

Practitioners & affiliated clinicians

Practitioners 3

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1114664604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "541-239-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "154-123-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "BECKY JO",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PARTNER/ OPERATIONS AND OFFICE MGR",
        "authorized_official_telephone_number": "154-123-9843"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Rivers Recovery LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.