Active NPI
Charlotte L. Pla, CADC 11
- Addiction (Substance Use Disorder) Counselor
- Gold Beach, OR
National Provider Identifier
1548563117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 29821 Colvin St
Gold Beach, OR 97444-0746 - Phone
- (541) 247-4082
- Fax
- (541) 247-5058
- NPI assigned
- Dec 21, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | Primary |
Addresses
Primary practice location
29821 Colvin St
Gold Beach, OR 97444-0746
Mailing address
PO Box 746
Gold Beach, OR 97444-0746
Phone (541) 247-4082
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": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1548563117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974440746",
"telephone_number": "541-247-4082",
"fax_number": "541-247-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29821 COLVIN ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974440746",
"telephone_number": "541-247-4082",
"fax_number": "541-247-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLA",
"first_name": "CHARLOTTE",
"middle_name": "L.",
"credential": "CADC 11",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.