Active NPI
Adapt
- Clinic/Center
- Roseburg, OR
National Provider Identifier
1750373346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ADAPT
- Practice address
- 548 SE Jackson St
Roseburg, OR 97470-4983 - Phone
- (541) 672-2691
- Fax
- (541) 673-5642
- NPI assigned
- Aug 18, 2005
- Last updated
- May 8, 2019
- Organization subpart
- No
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Mental Health Counselor | 101YM0800X | OR | ||
| Clinic/Center | 261Q00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X | OR | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | OR |
Addresses
Primary practice location
548 SE Jackson St
Roseburg, OR 97470-4983
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218156 | Medicaid | OR | |
| 024030000 | Other | OR | REGENCE - OUTPATIENT |
| 100394400 | Other | OR | REGENCE - RESIDENTIAL |
National Provider Directory
National Provider Directory- Tax ID family
- 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
-
- Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1649453440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557273600000",
"number": "1750373346",
"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": "548 SE JACKSON ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974704983",
"telephone_number": "541-672-2691",
"fax_number": "541-673-5642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPT",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2019-05-08",
"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": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "OR",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218156",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE - OUTPATIENT",
"identifier": "024030000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE - RESIDENTIAL",
"identifier": "100394400",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.