Leroy Augustus

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

16-CRM-003 Issued in OR

Practice address

10570 SE Washington St
Portland, OR 97216-2846

Phone

(971) 334-2005

NPI assigned

Feb 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Volunteers of America

  • Case Management Agency
  • Portland, OR
  • NPI 1558897710
  NPD (past)
• Volunteers of America Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1538527320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 SE WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162809",
            "telephone_number": "971-334-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 SE WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162846",
            "telephone_number": "971-334-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTUS",
        "first_name": "LEROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "16-CRM-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16-CRM-003",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kay August, PH.D.
• Suzanne Lorraine August, FNP
• Nyrva Augustin
• June Augustina, R.N.
• Ann M Augustine, LPC
• Thomas Gates Aukland, LMT
• Alexander C. Aul, DNP, CRNA
• Maya Arabella Auld
• Kerri Ault, MSW
• Whitney Renee Ault, NP-C

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.