Active NPI
Justin David Counts, CSWA
- Clinical Social Worker
- Roseburg, OR
National Provider Identifier
1427970748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A16646
- Practice address
- 1652 NW Hughwood CT
Roseburg, OR 97471-8844 - Phone
- (541) 673-3985
- Fax
- (541) 673-8060
- NPI assigned
- Jul 28, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A16646 | OR | Primary |
Addresses
Primary practice location
1652 NW Hughwood CT
Roseburg, OR 97471-8844
Mailing address
1652 NW Hughwood CT
Roseburg, OR 97471-8844
Phone (541) 673-3985
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1427970748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 NW HUGHWOOD CT",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718844",
"telephone_number": "541-673-3985",
"fax_number": "541-673-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 NW HUGHWOOD CT",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718844",
"telephone_number": "541-673-3985",
"fax_number": "541-673-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A16646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.