Active NPI
Shawna A Valadez, CADC-R
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
National Provider Identifier
1346889615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-19-612
- Practice address
- 109 N.E. Manzanita Avenue
Grants Pass, OR 97526-1400 - Phone
- (541) 479-8847
- Fax
- (541) 471-2679
- NPI assigned
- Jan 3, 2020
- 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-19-612 | OR | Primary |
Addresses
Primary practice location
109 N.E. Manzanita Avenue
Grants Pass, OR 97526-1400
Mailing address
109 N.E. Manzanita Avenue
Grants Pass, OR 97526-1400
Phone (541) 479-8847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-19-612 | Other | OR | MHACBO |
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-19-612 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grants Pass Management Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Choices Counseling | 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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Grants Pass, OR
- NPI 1942694336
-
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
- NPI 1871703702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1346889615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N.E. MANZANITA AVENUE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261400",
"telephone_number": "541-479-8847",
"fax_number": "541-471-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N.E. MANZANITA AVENUE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261400",
"telephone_number": "541-479-8847",
"fax_number": "541-471-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALADEZ",
"first_name": "SHAWNA",
"middle_name": "A",
"credential": "CADC-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-19-612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHACBO",
"identifier": "T-19-612",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.