Individual provider Active NPI

Michel R Meiffren, MA, MAC, CADC I

  • Addiction (Substance Use Disorder) Counselor
  • Astoria, OR
National Provider Identifier
1144545187
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
07-09-32 Issued in OR
Practice address
185 4TH St
# 2
Astoria, OR 97103-4359
Phone
(503) 338-8106
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07-09-32 OR Primary

Addresses

Primary practice location

185 4TH St
# 2
Astoria, OR 97103-4359

Mailing address

185 4TH St
# 2
Astoria, OR 97103-4359
Phone (503) 338-8106

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1144545187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 4TH ST",
            "address_2": "# 2",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034359",
            "telephone_number": "503-338-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 4TH ST",
            "address_2": "# 2",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034359",
            "telephone_number": "503-338-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIFFREN",
        "first_name": "MICHEL",
        "middle_name": "R",
        "credential": "MA, MAC, CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "07-09-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.