Organization Active NPI

Heron Counseling Services Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • McMinnville, OR
National Provider Identifier
1306902697
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HERON COUNSELING SERVICES CORPORATION
Practice address
105 NE 8TH St
McMinnville, OR 97128-4909
Phone
(503) 474-2024
Fax
(503) 474-4454
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mr. Dell Milton Miller, CACDII
Title
Program Director
Phone
(503) 474-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

105 NE 8TH St
McMinnville, OR 97128-4909

Mailing address

105 NE 8TH St
P.O. Box 1579
McMinnville, OR 97128-4909
Phone (503) 474-2024

Other identifiers 2

IdentifierTypeStateIssuer
MB000039OtherORMMIS ELECTRONIC BILLING
165726MedicaidOR

Other names 1

  • Better Choices Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

105 NE 8th St
McMinnville, OR 97128
Phone (503) 474-2024

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1306902697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NE 8TH ST",
            "address_2": "P.O. BOX 1579",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284909",
            "telephone_number": "503-474-2024",
            "fax_number": "503-474-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NE 8TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284909",
            "telephone_number": "503-474-2024",
            "fax_number": "503-474-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON COUNSELING SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DELL",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "503-474-2024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CACDII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS ELECTRONIC BILLING",
            "identifier": "MB000039",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165726",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Choices Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.