Active NPI
Heron Counseling Services Corporation
- Substance Use Disorder Rehabilitation Clinic/Center
- McMinnville, OR
National Provider Identifier
1306902697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MB000039 | Other | OR | MMIS ELECTRONIC BILLING |
| 165726 | Medicaid | OR |
Other names 1
- Better Choices Counseling Services
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- McMinnville, OR
- NPI 1407287766
-
- Addiction (Substance Use Disorder) Counselor
- McMinnville, OR
- NPI 1982028007
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.