Active NPI
Adapt
Doing business as Adapt Integrated Health Care
- Community/Behavioral Health Agency
- Brookings, OR
National Provider Identifier
1760145338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ADAPT
- Doing business as
- Adapt Integrated Health Care
- Practice address
- 615 5TH St
Brookings, OR 97415-9199 - Phone
- (541) 672-2691
- Fax
- (541) 492-0190
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 5, 2023
- 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
- Debbie L Phillips
- Title
- Director of Billing
- Phone
- (541) 492-0134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
615 5TH St
Brookings, OR 97415-9199
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 492-0134
Other names 1
- Adapt Integrated Health Care
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 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
-
- Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1649453440
Locations
615 5th St
Brookings, OR 97415
Phone (541) 469-3113
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Clinical Social Worker
- Brookings, OR
- NPI 1477232114
-
- Mental Health Counselor
- Brookings, OR
- NPI 1184017444
-
- Mental Health Counselor
- Port Orford, OR
- NPI 1164019147
-
- Clinical Social Worker
- Brookings, OR
- NPI 1770776551
-
- Psychiatry Physician
- Roseburg, OR
- NPI 1154431542
-
- Psychiatry Physician
- Roseburg, OR
- NPI 1548279102
-
- Psychiatry Physician
- Roseburg, OR
- NPI 1437338928
-
- 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": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1760145338",
"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": "541-492-0134",
"fax_number": "541-492-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159199",
"telephone_number": "541-672-2691",
"fax_number": "541-492-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADAPT",
"enumeration_date": "2021-10-20",
"last_updated": "2023-10-05",
"certification_date": "2021-11-17",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "541-492-0134"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adapt Integrated Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Adapt Integrated Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.