Active NPI
Christopher Tyler, CADC 1
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
National Provider Identifier
1356820534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 356 NE Beacon Dr
Grants Pass, OR 97526-3815 - Phone
- (541) 474-1033
- NPI assigned
- Aug 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
356 NE Beacon Dr
Grants Pass, OR 97526-3815
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
Other practice location 1
300 W Main St
Medford, OR 97501-2756
Phone (541) 237-5061
Other practice location 2
900 Hitching Post Rd
Grants Pass, OR 97526-9710
Phone (541) 237-5170 ext. 5170
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt | Current | Accepting new patients |
Locations
356 NE Beacon Dr
Grants Pass, OR 97526
Phone (541) 474-1033
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Grants Pass, OR
- NPI 1477250603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1356820534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-672-2691",
"fax_number": "541-734-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 NE BEACON DR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263815",
"telephone_number": "541-474-1033"
}
],
"practiceLocations": [
{
"address_1": "300 W Main St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975012756",
"country_code": "US",
"telephone_number": "541-237-5061",
"fax_number": "541-734-2410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Hitching Post Rd",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975269710",
"country_code": "US",
"telephone_number": "541-237-5170 x5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER",
"first_name": "CHRISTOPHER",
"credential": "CADC 1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Feb 20, 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.