Individual provider Active NPI

Nicole Van Alstine, CADC-R CRM, PSS

  • Addiction (Substance Use Disorder) Counselor
  • Prineville, OR
National Provider Identifier
1255906558
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23-11-10947 Issued in OR
Practice address
1059 NW Madras Hwy
Prineville, OR 97754
Phone
(541) 323-5330
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TG-24-260 OR
Mental Health Counselor 101YM0800X 24-QMHA-1-004670 OR
Peer Specialist 175T00000X 20-CRM-019 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 23-11-10947 OR Primary

Addresses

Primary practice location

1059 NW Madras Hwy
Prineville, OR 97754

Mailing address

340 NW 5TH St
Redmond, OR 97756
Phone (541) 504-2218

Other identifiers 1

IdentifierTypeStateIssuer
20-CRM-019MedicaidOR

Other names 1

  • Nicole Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TG-24-260ORMDAddiction (Substance Use Disorder) Counselor
24-QMHA-1-004670ORMDMental Health Counselor
20-CRM-019ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Care Treatment Services CurrentSince May 18, 2025 Accepting new patients

Locations

1059 NW Madras Hwy
Prineville, OR 97754

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1255906558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NW 5TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-504-2218",
            "fax_number": "541-504-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 NW MADRAS HWY",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "97754",
            "telephone_number": "541-323-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALSTINE",
        "first_name": "NICOLE",
        "credential": "CADC-R CRM, PSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-04-30",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "TG-24-260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-QMHA-1-004670",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "20-CRM-019",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-11-10947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-CRM-019",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DAVIS",
            "credential": "CADC-R CRM, PSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.