NPIMap

Organization Active NPI

Lincoln County Children's Advocacy Center

  • Adolescent and Children Mental Health Clinic/Center
  • Newport, OR
National Provider Identifier
1578722369
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
1174640-8 Issued in OR
Legal business name
LINCOLN COUNTY CHILDREN'S ADVOCACY CENTER
Practice address
122 NE 47TH St
Newport, OR 97365-1429
Phone
(541) 574-0841
Fax
(541) 574-0821
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Ms. Theresa Wisner
Title
Executive Director
Phone
(541) 574-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1174640-8 OR Primary

Addresses

Primary practice location

122 NE 47TH St
Newport, OR 97365-1429

Mailing address

PO Box 707
Newport, OR 97365-0050
Phone (541) 574-0841

National Provider Directory

National Provider Directory

Locations

122 NE 47th St
Newport, OR 97365
Phone (541) 270-4660

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1578722369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650050",
            "telephone_number": "541-574-0841",
            "fax_number": "541-574-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NE 47TH ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651429",
            "telephone_number": "541-574-0841",
            "fax_number": "541-574-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY CHILDREN'S ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WISNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-574-0841",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "1174640-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 5, 2008; 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.