Crystal Marie Donley Burge, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-24-4758 Issued in OR

Practice address

810 Marshall St
Jordan Valley, OR 97910-9516

Phone

(775) 232-9325

Fax

(541) 586-3096

NPI assigned

Apr 10, 2025

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Marie Burge Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1184419160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "JORDAN VALLEY",
            "state": "OR",
            "postal_code": "979100184",
            "telephone_number": "775-232-9325",
            "fax_number": "541-586-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MARSHALL ST",
            "city": "JORDAN VALLEY",
            "state": "OR",
            "postal_code": "979109516",
            "telephone_number": "775-232-9325",
            "fax_number": "541-586-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEY BURGE",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-24-4758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BURGE",
            "middle_name": "MARIE",
            "credential": "EMT BASIC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordan Valley Ambulance Service
• Jordan Valley Health Clinic, Inc.
• Jordan Valley School District #3

• Addiction (Substance Use Disorder) Counselor in Jordan Valley, OR
• Providers in Jordan Valley, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.