Active NPI
Charles William Hemingway, NCC, MAC, CADC III
- Addiction (Substance Use Disorder) Counselor
- Bend, OR
National Provider Identifier
1447812110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 59939 Minnetonka Cir
Bend, OR 97702-9196 - Phone
- (541) 318-1897
- NPI assigned
- Jul 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 09-12-70 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | Primary |
Addresses
Primary practice location
59939 Minnetonka Cir
Bend, OR 97702-9196
Mailing address
1854 NE Division St
Bend, OR 97701-3502
Phone (541) 388-2096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09-12-70 | Other | OR | STATE CERTIFIED AOD COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chuckh@shepherdshouseministries.org | Direct |
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": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1447812110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1854 NE DIVISION ST",
"city": "BEND",
"state": "OR",
"postal_code": "977013502",
"telephone_number": "541-388-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59939 MINNETONKA CIR",
"city": "BEND",
"state": "OR",
"postal_code": "977029196",
"telephone_number": "541-318-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMINGWAY",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"credential": "NCC, MAC, CADC III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "09-12-70",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CERTIFIED AOD COUNSELOR",
"identifier": "09-12-70",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chuckh@shepherdshouseministries.org",
"affiliation": "N",
"endpointDescription": "organization email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office records",
"address_1": "1854 NE Division St",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977013502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.