Active NPI
Symmetry Care, Inc.
- Counselor
- Burns, OR
National Provider Identifier
1124178868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- SYMMETRY CARE, INC.
- Practice address
- 348 W. Adams
Burns, OR 97720 - Phone
- (541) 573-8376
- Fax
- (541) 573-8378
- NPI assigned
- Jan 12, 2007
- 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
- Mr. Chris Siegner, LCSW
- Title
- Director/Chief Executive Officer
- Phone
- (541) 573-8376
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Addiction Psychiatry Physician | 2084P0802X |
Addresses
Primary practice location
348 W. Adams
Burns, OR 97720
Mailing address
348 W. Adams
Burns, OR 97720
Phone (541) 573-8376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292463 | Medicaid | OR |
Other names 1
- Harney Behavioral Health Department, Harney County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Symmetry Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Burns, OR
- NPI 1710432919
-
- Mental Health Counselor
- Burns, OR
- NPI 1902956006
-
- Mental Health Counselor
- Burns, OR
- NPI 1942596275
Practitioners & affiliated clinicians
Practitioners 1
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": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439164800000",
"number": "1124178868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 W. ADAMS",
"city": "BURNS",
"state": "OR",
"postal_code": "97720",
"telephone_number": "541-573-8376",
"fax_number": "541-573-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 W. ADAMS",
"city": "BURNS",
"state": "OR",
"postal_code": "97720",
"telephone_number": "541-573-8376",
"fax_number": "541-573-8378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2015-08-10",
"status": "A",
"authorized_official_last_name": "SIEGNER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "DIRECTOR/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "541-573-8376",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292463",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harney Behavioral Health Department, Harney County",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Burns, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.