Active NPI
Theresa Marie Griffith-Evans, M.A., QMHP
- Counselor
- Lincoln City, OR
National Provider Identifier
1306983952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2015 NW 39TH St
Lincoln City, OR 97367-4824 - Phone
- (541) 921-0658
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2015 NW 39TH St
Lincoln City, OR 97367-4824
Mailing address
3632 SE Dune Ave
Lincoln City, OR 97367-1740
Phone (541) 994-4873
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306983952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 SE DUNE AVE",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973671740",
"telephone_number": "541-994-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 NW 39TH ST",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973674824",
"telephone_number": "541-921-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH-EVANS",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "M.A., QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.