Reaching in Serving Kids

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REACHING IN SERVING KIDS

Practice address

4134 N Vancouver Ave
Suite 303C
Portland, OR 97217-2900

Phone

(503) 593-7764

Fax

(503) 249-2047

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Leonard N/a Clark Sr., CADC IINPI 1518226216

Title

Director

Phone

(503) 593-7764

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard Clark, CERTIFIED ALCOHOL &

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1518226216
  NPD (past) Authorized official

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1639430747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 N VANCOUVER AVE",
            "address_2": "SUITE 303C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172900",
            "telephone_number": "503-593-7764",
            "fax_number": "503-249-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 N VANCOUVER AVE",
            "address_2": "SUITE 303C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172900",
            "telephone_number": "503-593-7764",
            "fax_number": "503-249-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING IN SERVING KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-593-7764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ALCOHOL AND DRUG COUNSELOR II",
            "identifier": "06-R-06",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rd Counseling and Consulting, LLC
• RDC, LLC
• Molly Grace Rea, LMT
• Regan Rea, P.A.C
• Tina Lorene Rea, LMT
• Adrianne Read, LMT
• Angela Joy Read, L.AC.
• Austin Read
• Cymon Nichole Kersch Read, MD
• Deanna Read, CPNP-PC

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.