Individual provider Active NPI

Rick Jones, CADCII, NCACII

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
National Provider Identifier
1265811657
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87-10-13 Issued in OR
Practice address
109 NE Manzanita Ave
Grants Pass, OR 97526-1400
Phone
(541) 479-8847
Fax
(541) 471-2679
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87-10-13 OR Primary

Addresses

Primary practice location

109 NE Manzanita Ave
Grants Pass, OR 97526-1400

Mailing address

3610 Rogue River Hwy # 39
Grants Pass, OR 97527-4556
Phone (541) 659-9956

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Counseling Past Accepting new patients
Grants Pass Management Services, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1265811657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 ROGUE RIVER HWY # 39",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975274556",
            "telephone_number": "541-659-9956",
            "fax_number": "541-471-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NE MANZANITA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261400",
            "telephone_number": "541-479-8847",
            "fax_number": "541-471-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RICK",
        "credential": "CADCII, NCACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "87-10-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.