Active NPI
Mary Patricia Pope-Schaedler, CADC I
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
National Provider Identifier
1124485925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11-09-44
- Practice address
- 2064 SE Douglas Ave
Roseburg, OR 97470-3713 - Phone
- (541) 673-5119
- Fax
- (541) 957-3734
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 11-09-44 | OR | Primary |
Addresses
Primary practice location
2064 SE Douglas Ave
Roseburg, OR 97470-3713
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 673-5119
Other names 1
- Pattie Schaedler
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
Practice roles
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
-
- Children's Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1730362534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1124485925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-673-5119",
"fax_number": "541-957-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2064 SE DOUGLAS AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703713",
"telephone_number": "541-673-5119",
"fax_number": "541-957-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE-SCHAEDLER",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "CADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "11-09-44",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATTIE",
"last_name": "SCHAEDLER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.