Craig Nelson
Individual provider Active NPI Mental Health Counselor · Boardman, OR
NPI 1164031423 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1164031423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 104 SW Kinkade Ave
Boardman, OR 97818 - Phone
- (541) 481-2911
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
104 SW Kinkade Ave
Boardman, OR 97818
Mailing address
PO Box 261
Boardman, OR 97818-0261
Phone (541) 481-2911
Other providers in Boardman, OR
- Janet Morgan
- Morrow County Health District
- Murray Drugs, Inc.
- Murray Drugs, Inc.
- Sonja L Neal
- Oregon Regional Behavioral Services
- Jose James Ortiz Jr.
- Ruby Perches-Ball
- Priscilla Perches
- Brandi Nichole Pollick
All providers in Boardman, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.