George Charles Spurny, MAC, CADC III, ACRPS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

508955

Practice address

2575 NW Kline St
Roseburg, OR 97471-8827

Phone

(541) 673-3504

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1326568189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 INDIAN BEND RD",
            "city": "UMPQUA",
            "state": "OR",
            "postal_code": "974869737",
            "telephone_number": "541-912-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718827",
            "telephone_number": "541-673-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURNY",
        "first_name": "GEORGE",
        "middle_name": "CHARLES",
        "credential": "MAC, CADC III, ACRPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "508955",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "508955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTION SPECIALIST",
            "identifier": "C-1311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ALCOHOL & DRUG COUNSELOR LEVEL III",
            "identifier": "89-01--18",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED CERTIFIED RELAPSE PREVENTION SPECIALIST",
            "identifier": "291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER ADDICTION COUNSELOR",
            "identifier": "508955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher R Spence, MD
• Joseph Anthony Spinella, M.D.
• Jennifer M Sprague
• Allan Ray Springer, B.S.
• John D Sproed I, M.D.
• Nicole Rene J Stafford, MSW, CSWA
• Mark Ernest Stahler, RN
• John Stamey, PHARMACIST
• Ashley R Staninger
• Scott Lawrence Stanley, O.D.

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.