Active NPI
Ross Michael Acker, LPC, QMHP
- Mental Health Counselor
- North Bend, OR
National Provider Identifier
1346553351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2374
- Practice address
- 1975 McPherson St
Suite 2
North Bend, OR 97459-3482 - Phone
- (541) 756-2020
- Fax
- (541) 756-8982
- NPI assigned
- Jul 19, 2010
- Last updated
- Jul 26, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2374 | OR | Primary |
Addresses
Primary practice location
1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Mailing address
1975 McPherson St
Suite 2
North Bend, OR 97459-3482
Phone (541) 756-2020
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 |
|---|---|---|---|
| C2374 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Oregon | Mental Health | Past | Accepting new patients |
| Coos County Oregon | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coos Health & Wellness
- Clinic/Center
- Coos Bay, OR
- NPI 1811981053
Mental Health
-
dba Coos County Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Bend, OR
- NPI 1891935235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1346553351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MCPHERSON ST",
"address_2": "SUITE 2",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593482",
"telephone_number": "541-756-2020",
"fax_number": "541-756-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 MCPHERSON ST",
"address_2": "SUITE 2",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593482",
"telephone_number": "541-756-2020",
"fax_number": "541-756-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKER",
"first_name": "ROSS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LPC, QMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.