Active NPI
Amber Stone
- Addiction (Substance Use Disorder) Counselor
- Dallas, OR
National Provider Identifier
1316725013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-23-2780
- Practice address
- 147 SW Court St
Dallas, OR 97338-3112 - Phone
- (503) 304-4358
- Fax
- (503) 304-4361
- NPI assigned
- Sep 15, 2023
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-23-2780 | OR | Primary |
Addresses
Primary practice location
147 SW Court St
Dallas, OR 97338-3112
Mailing address
PO Box 20674
Keizer, OR 97307-0674
Phone (503) 304-4358
Other practice location 1
465 Commercial St NE Ste 150
Salem, OR 97301-3414
Phone (503) 304-4358
Other practice location 2
3793 River Rd N
Keizer, OR 97303-4827
Phone (503) 304-4358
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-23-2780 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Recovery Behavioral Health | Current | Accepting new patients | |
| Renaissance Recovery Resources, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
147 SW Court St
Dallas, OR 97338
Phone (503) 304-4358
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.
-
- Community/Behavioral Health Agency
- Dallas, OR
- NPI 1164111472
-
- Community/Behavioral Health Agency
- Keizer, OR
- NPI 1639125156
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1316725013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20674",
"city": "KEIZER",
"state": "OR",
"postal_code": "973070674",
"telephone_number": "503-304-4358",
"fax_number": "503-304-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 SW COURT ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973383112",
"telephone_number": "503-304-4358",
"fax_number": "503-304-4361"
}
],
"practiceLocations": [
{
"address_1": "465 Commercial St NE Ste 150",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013414",
"country_code": "US",
"telephone_number": "503-304-4358",
"fax_number": "503-304-4361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3793 River Rd N",
"address_purpose": "LOCATION",
"city": "Keizer",
"state": "OR",
"postal_code": "973034827",
"country_code": "US",
"telephone_number": "503-304-4358",
"fax_number": "503-304-4358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-23-2780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.