Organization Active NPI

Fresh Start Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1326895269
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
FRESH START RECOVERY
Doing business as
Fresh Start Recovery
Practice address
355 NW 6TH Ave Apt 703
Portland, OR 97209-4175
Phone
(971) 468-5098
NPI assigned
Apr 30, 2024
Organization subpart
Yes
Parent organization
FRESH START RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Markas Curtis, CADC ,CRM ,PSS, QMHA
Title
Ceo
Phone
(971) 478-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

355 NW 6TH Ave Apt 703
Portland, OR 97209-4175

Mailing address

355 NW 6TH Ave
Portland, OR 97209-4176
Phone (971) 468-5098

Other names 1

  • FRESH START RECOVERY Doing business as

National Provider Directory

National Provider Directory
Part of
Fresh Start Recovery

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1326895269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094176",
            "telephone_number": "971-468-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NW 6TH AVE APT 703",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094175",
            "telephone_number": "971-468-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESH START RECOVERY",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "MARKAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-478-5098",
        "authorized_official_credential": "CADC ,CRM ,PSS, QMHA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH START RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.