NPIMap

Organization Active NPI

Osoa Therapy

  • Clinical Social Worker
  • Pendleton, OR
National Provider Identifier
1154619963
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
062120 Issued in OR
Legal business name
OSOA THERAPY
Practice address
114 SE 1St St
Pendleton, OR 97801-2204
Phone
(541) 429-9000
Fax
(855) 738-7698
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Ms. Amy Rose Ashton-Williams, CADC II, LCSW
Title
A&D Counselor, Clinical Social Work
Phone
(541) 429-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 07-09-56 OR
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 062120 OR Primary

Addresses

Primary practice location

114 SE 1St St
Pendleton, OR 97801-2204

Mailing address

PO Box 1703
114 SE 1St St
Pendleton, OR 97801-0540
Phone (541) 429-9000

National Provider Directory

National Provider Directory

Locations

114 SE 1st St
Pendleton, OR 97801
Phone (541) 429-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1154619963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1703",
            "address_2": "114 SE 1ST ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010540",
            "telephone_number": "541-429-9000",
            "fax_number": "855-738-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SE 1ST ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012204",
            "telephone_number": "541-429-9000",
            "fax_number": "855-738-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSOA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "ASHTON-WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "A&D COUNSELOR, CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "541-429-9000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC II, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "07-09-56",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "062120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.