Jesus Ortega, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1146006 Issued in ID

Practice address

762 Falls Ave
Twin Falls, ID 83301-3316

Phone

(208) 734-4200

Fax

(208) 734-1404

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

Yes

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1407020357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368",
            "telephone_number": "208-934-8461",
            "fax_number": "208-934-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013316",
            "telephone_number": "208-734-4200",
            "fax_number": "208-734-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JESUS",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1146006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optima Health Care Systems
• Optimization Psychological Services
• Mary Helen Ordway, LMSW
• Sonya Sue Orr, NP
• Jessica Orsland
• Orthopro of Twin Falls, Inc
• Adan Ortiz, PHARMD
• Shelly Marie Osborne, LCPC
• Melissa Dawn Osen, LCSW
• Shane Michael Osgood, ATC, CEAS

• Addiction (Substance Use Disorder) Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.