Mandy Adams

Individual provider Active NPI Mental Health Counselor · Pendleton, OR

NPI 1316391998 · NPPES record last updated Apr 20, 2016

Key facts

NPI
1316391998
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2575 Westgate BLDG 3
Pendleton, OR 97801-9613
Phone
(541) 276-6330
Fax
(541) 276-6295
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2575 Westgate BLDG 3
Pendleton, OR 97801-9613

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 668-1270

Other providers in Pendleton, OR

All providers in Pendleton, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.