Reform Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REFORM RECOVERY

Practice address

220 Evergreen Rd
Kelso, WA 98626-9705

Phone

(360) 431-0763

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Amber Delagrange, CP 60476132NPI 1295113744

Title

Owner

Phone

(360) 431-0763

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Delagrange, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Castle Rock, WA
  • NPI 1295113744
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1154180131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EVERGREEN RD",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986269705",
            "telephone_number": "360-431-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EVERGREEN RD",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986269705",
            "telephone_number": "360-431-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DELAGRANGE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-431-0763",
        "authorized_official_credential": "CP 60476132"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Query, PHARMD
• Kyler Rahn
• Cassandra Jean Ramcharan, DMD
• Mandy Lynn Ransom
• Christopher JC Reeves, DPT
• Catherine Reinhardt, LPN
• Grace Raeann Reinke, LSWAIC
• Renee Sheeler Denture Clinic, Inc
• Megan Rhoads
• Elizabeth Lennee Rich, MA

• Community/Behavioral Health Agency in Kelso, WA
• Providers in Kelso, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.