Active NPI
Bonnie Gracia
- Counselor
- Pendleton, OR
National Provider Identifier
1457710196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 17 SW Frazer Ave Ste 282
Pendleton, OR 97801-0048 - Phone
- (541) 564-9390
- Fax
- (541) 564-9389
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
17 SW Frazer Ave Ste 282
Pendleton, OR 97801-0048
Mailing address
435 E Newport Ave
Suite a
Hermiston, OR 97838-2487
Phone (541) 564-9390
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Addiction (Substance Use Disorder) | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pendleton, OR
- NPI 1942975958
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1457710196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E NEWPORT AVE",
"address_2": "SUITE A",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382487",
"telephone_number": "541-564-9390",
"fax_number": "541-564-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SW FRAZER AVE STE 282",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010048",
"telephone_number": "541-564-9390",
"fax_number": "541-564-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIA",
"first_name": "BONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.