Organization Active NPI

Success Consultants of Southern Oregon

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
National Provider Identifier
1447862065
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SUCCESS CONSULTANTS OF SOUTHERN OREGON
Doing business as
Success Consultants of Southern Oregon
Practice address
418 NW 6TH St
Grants Pass, OR 97526-2006
Phone
(541) 761-6346
Fax
(541) 216-6300
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Mrs. Crystal Roxanne Lee, CADC II, NCIP, CPSNPI 1851758783
Title
Owner
Phone
(541) 761-6346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

418 NW 6TH St
Grants Pass, OR 97526-2006

Mailing address

418 NW 6TH St
Grants Pass, OR 97526-2006
Phone (541) 761-6346

Other names 1

  • Success Consultants of Southern Oregon Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1447862065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262006",
            "telephone_number": "541-761-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262006",
            "telephone_number": "541-761-6346",
            "fax_number": "541-216-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS CONSULTANTS OF SOUTHERN OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-761-6346",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADC II, NCIP, CPS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Consultants of Southern Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.