Organization Active NPI

Benton County

Doing business as Benton County Drug Court

  • Addiction (Substance Use Disorder) Counselor
  • Corvallis, OR
National Provider Identifier
1467512335
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BENTON COUNTY
Doing business as
Benton County Drug Court
Practice address
557 NW Monroe Ave
Corvallis, OR 97330-4721
Phone
(541) 766-3540
Fax
(541) 766-3543
NPI assigned
Dec 11, 2006
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BENTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Lacey Mollel
Title
Health Center Director
Phone
(541) 766-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

557 NW Monroe Ave
Corvallis, OR 97330-4721

Mailing address

PO Box 579
Corvallis, OR 97339-0579
Phone (541) 766-3540

Other identifiers 3

IdentifierTypeStateIssuer
039328000OtherREGENCE BCBS
227701MedicaidOR
700228501OtherREGENCE BCBS

Other names 1

  • Benton County Drug Court Doing business as

National Provider Directory

National Provider Directory
Part of
Benton County

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1467512335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390579",
            "telephone_number": "541-766-3540",
            "fax_number": "541-766-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304721",
            "telephone_number": "541-766-3540",
            "fax_number": "541-766-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENTON COUNTY",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "MOLLEL",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "541-766-6835"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "039328000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227701",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "700228501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton County Drug Court",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benton County Drug Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.