Individual provider Active NPI

Tanya Maria Pritt

  • Addiction (Substance Use Disorder) Counselor
  • Corvallis, OR
National Provider Identifier
1477913911
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CADCII 02-07-85 Issued in OR
Practice address
518 SW 3Rd St
Corvallis, OR 97333-4439
Phone
(541) 231-4315
Fax
(541) 753-7805
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADCII 02-07-85 OR Primary

Addresses

Primary practice location

518 SW 3Rd St
Corvallis, OR 97333-4439

Mailing address

518 SW 3Rd St
Corvallis, OR 97333-4439
Phone (541) 231-4315

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1477913911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334439",
            "telephone_number": "541-231-4315",
            "fax_number": "541-753-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334439",
            "telephone_number": "541-231-4315",
            "fax_number": "541-753-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITT",
        "first_name": "TANYA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CADCII 02-07-85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2016; 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.