Active NPI
Abraham James Mitchell, BS
- Counselor
- Corvallis, OR
National Provider Identifier
1326675794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3139045757
- Practice address
- 4455 NE Highway 20
Corvallis, OR 97330-9695 - Phone
- (541) 758-5900
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- 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 | 3139045757 | IN | Primary |
Addresses
Primary practice location
4455 NE Highway 20
Corvallis, OR 97330-9695
Mailing address
4455 NE Highway 20
Corvallis, OR 97330-9695
Phone (541) 758-5900
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3139045757 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1326675794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 NE HIGHWAY 20",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309695",
"telephone_number": "541-758-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 NE HIGHWAY 20",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309695",
"telephone_number": "541-758-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ABRAHAM",
"middle_name": "JAMES",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "3139045757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.