Active NPI
Adapt
- Substance Abuse Rehabilitation Facility
- Roseburg, OR
National Provider Identifier
1649453440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ADAPT
- Practice address
- 3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655 - Phone
- (541) 673-3469
- Fax
- (541) 672-8072
- NPI assigned
- Dec 14, 2007
- Last updated
- Dec 14, 2007
- Organization subpart
- Yes
- Parent organization
- ADAPT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Piper
- Title
- Ceo
- Phone
- (541) 672-2691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | NU | Primary |
Addresses
Primary practice location
3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218156 | Medicaid | OR |
Other names 1
- The Crossroads
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061121000327 | OR | Part B Supplier - Clinic/Group Practice | 4587662887 |
Receives reassigned benefits from 87 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bandon, OR; Winston, OR; Roseburg, OR; North Bend, OR; Brookings, OR |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1184350811
O20061121000327
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
O20061121000327
-
dba Compass Behavioral Health
- Community/Behavioral Health Agency
- Roseburg, OR
- NPI 1639682883
O20061121000327
-
- Children's Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1730362534
O20061121000327
-
dba Adapt Integrated Health Care
- Community/Behavioral Health Agency
- Brookings, OR
- NPI 1760145338
O20061121000327
-
dba SouthRiver Medical Clinic aka: SouthRiver Community Health Center
- Federally Qualified Health Center (FQHC)
- Winston, OR
- NPI 1912061755
O20061121000327
National Provider Directory
National Provider Directory- Tax ID family
- Adapt
- Part of
- Adapt
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
- NPI 1144401043
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1174952238
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1184350811
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
-
- Addiction (Substance Use Disorder) Counselor
- Reedsport, OR
- NPI 1235568155
-
- Adult Mental Health Clinic/Center
- Grants Pass, OR
- NPI 1477250603
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1508295668
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1639508708
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Family Nurse Practitioner
- Bandon, OR
- NPI 1992133607
-
- Family Medicine Physician
- Winston, OR
- NPI 1295251072
-
- Social Worker
- Roseburg, OR
- NPI 1003242173
-
- Professional Counselor
- Roseburg, OR
- NPI 1700548278
-
- Clinical Social Worker
- Roseburg, OR
- NPI 1407137235
-
- Physician Assistant
- Eugene, OR
- NPI 1154975001
-
- Professional Counselor
- Roseburg, OR
- NPI 1902131352
-
- Psychiatric/Mental Health Nurse Practitioner
- Redmond, OR
- NPI 1811997935
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1588984751
-
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
- NPI 1225306574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1649453440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-672-2691",
"fax_number": "541-673-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3099 NE DIAMOND LAKE BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703655",
"telephone_number": "541-673-3469",
"fax_number": "541-672-8072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADAPT",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "PIPER",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-672-2691"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218156",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Crossroads",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.