Water Cup Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-1233 Issued in OR

Legal business name

WATER CUP COUNSELING

Practice address

852 SW 15TH St
Redmond, OR 97756-2507

Phone

(541) 527-5802

Fax

(541) 526-0300

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Barry William Gridley, D.MIN.

Title

LMFT Therapist.

Phone

(541) 527-5802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1588182984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 SE JEFFERSON DR",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977548891",
            "telephone_number": "541-527-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 SW 15TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562507",
            "telephone_number": "541-527-5802",
            "fax_number": "541-526-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER CUP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "GRIDLEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "LMFT THERAPIST.",
        "authorized_official_telephone_number": "541-527-5802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T-1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Karen Jean Walz, PT
• Lauren L Wanamaker, L.M.T.
• Michael Joseph Wanamaker, OT/LP
• Hanxiang Alex Wang, MD
• Donna Lynn Watkins
• Marilyn Joanne Watkins, RN
• Rachel Watkins
• Eric J Wattenburg, MD
• Megan Rae Weaver

• Mental Health Counselor in Redmond, OR
• Providers in Redmond, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.