Organization Active NPI

Discovery Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Newport, OR
National Provider Identifier
1578624300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DISCOVERY BEHAVIORAL HEALTH
Practice address
111 SE Douglas St
Suite E
Newport, OR 97365-4499
Phone
(541) 574-9050
Fax
(541) 574-9052
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Winfield Crew III, CADCII, NCACII
Title
Executive Director
Phone
(541) 574-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X OR Primary

Addresses

Primary practice location

111 SE Douglas St
Suite E
Newport, OR 97365-4499

Mailing address

111 SE Douglas St
Suite E
Newport, OR 97365-4499
Phone (541) 574-9050

Other identifiers 1

IdentifierTypeStateIssuer
134929MedicaidOR

Other names 1

  • Dsicvoery Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

111 SE Douglas St
Ste E
Newport, OR 97365
Phone (541) 265-8245

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578624300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST",
            "address_2": "SUITE E",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654499",
            "telephone_number": "541-574-9050",
            "fax_number": "541-574-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST",
            "address_2": "SUITE E",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654499",
            "telephone_number": "541-574-9050",
            "fax_number": "541-574-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WINFIELD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-574-9050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CADCII, NCACII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134929",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dsicvoery Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.