Asd Stepping Stones to Success

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ASD STEPPING STONES TO SUCCESS

Practice address

91145 N Willamette St Ste 8211
Coburg, OR 97408-9700

Phone

(541) 953-6997

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carole Benson

Title

Owner

Phone

(541) 953-6997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1134619752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91145 N WILLAMETTE ST STE 8211",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "974089700",
            "telephone_number": "541-953-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91145 N WILLAMETTE ST STE 8211",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "974089700",
            "telephone_number": "541-953-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASD STEPPING STONES TO SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-953-6997",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmitt Adair, QMHP, CADC III, SAP
• Brittney Arlint
• Travis Audia
• Emily Ann Baldwin
• Maranda D Barlow, CADC II, QMHA I
• Alisha Marie Bashor
• Daniel John Bates I

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Coburg, OR
• Providers in Coburg, OR by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.