William Cody Daniel Charter, CADC-R, CRM II

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-CRM-II-0154 Issued in OR

Practice address

1333 NW 9TH St
Prineville, OR 97754-1482

Phone

(541) 447-2631

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1386421626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S MAIN ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977542744",
            "telephone_number": "541-206-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 NW 9TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541482",
            "telephone_number": "541-447-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTER",
        "first_name": "WILLIAM",
        "middle_name": "CODY DANIEL",
        "credential": "CADC-R, CRM II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-II-0154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Prineville, OR
• Providers in Prineville, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.