Individual provider Active NPI

Froukje Trijntje Spaak-Powell

  • Addiction (Substance Use Disorder) Counselor
  • Albany, OR
National Provider Identifier
1396287678
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14-12-39 Issued in OR
Practice address
1005 NW Springhill Dr
Albany, OR 97321-1748
Phone
(541) 967-6580
NPI assigned
Nov 17, 2016
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14-12-39 OR Primary

Addresses

Primary practice location

1005 NW Springhill Dr
Albany, OR 97321-1748

Mailing address

35417 Tennessee Rd SE
Albany, OR 97322-9737
Phone (541) 905-4651

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

OrganizationSpecialtyStatusNew patients
Family Tree Relief Nursery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1396287678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35417 TENNESSEE RD SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973229737",
            "telephone_number": "541-905-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NW SPRINGHILL DR",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211748",
            "telephone_number": "541-967-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAAK-POWELL",
        "first_name": "FROUKJE",
        "middle_name": "TRIJNTJE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "14-12-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.