Reginal Stroughter, CRM, CGAC1, CADC1 AP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12-CRM-046 Issued in OR

Practice address

5257 NE Martin Luther King Jr Ste 201
Portland, OR 97211-3283

Phone

(503) 676-3710

Fax

(503) 430-5403

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Volunteers of America

  • Case Management Agency
  • Portland, OR
  • NPI 1558897710
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1225564180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 SE WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162809",
            "telephone_number": "503-888-6065",
            "fax_number": "503-228-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113283",
            "telephone_number": "503-676-3710",
            "fax_number": "503-430-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUGHTER",
        "first_name": "REGINAL",
        "credential": "CRM, CGAC1, CADC1 AP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-CRM-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Margit Stroud, M.D.
• Eric D. Stroud, DC
• Michael Joseph Stroud
• Robert Joshua Stroud
• Roxanne Marie Strouf, EFDA
• Sierra Stroum
• Alex Stroup
• Jacqueline Stroup
• Scott Curtis Stroup, M.D.
• Erin G Strub, PT

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, 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 Sep 25, 2018; 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.