Active NPI
Kascee Cressy-Green, CADC I, CRM
- Addiction (Substance Use Disorder) Counselor
- Pendleton, OR
National Provider Identifier
1710828587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22-03-10370
- Practice address
- 419 SW 5TH St
Pendleton, OR 97801-2020 - Phone
- (541) 429-4940
- Fax
- (541) 429-4941
- NPI assigned
- Apr 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22-03-10370 | OR | Primary |
| Peer Specialist | 175T00000X | 20-CRM-184 | OR |
Addresses
Primary practice location
419 SW 5TH St
Pendleton, OR 97801-2020
Mailing address
419 SW 5TH St
Pendleton, OR 97801-2020
Phone (541) 429-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-CRM-184 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life'S Intention LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Pendleton, OR
- NPI 1124729314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1710828587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 SW 5TH ST",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012020",
"telephone_number": "541-429-4940",
"fax_number": "541-429-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 SW 5TH ST",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012020",
"telephone_number": "541-429-4940",
"fax_number": "541-429-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESSY-GREEN",
"first_name": "KASCEE",
"credential": "CADC I, CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "22-03-10370",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "20-CRM-184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.