Organization Active NPI

Pacific Counseling Services

  • Community/Behavioral Health Agency
  • Newport, OR
National Provider Identifier
1770024606
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2691 Issued in OR
Legal business name
PACIFIC COUNSELING SERVICES
Practice address
607 SW Hurbert St
103
Newport, OR 97365-4998
Phone
(541) 283-5919
Fax
(541) 272-5544
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Dr. Lee Rosckowff, PSYDNPI 1952731358
Title
Executive Director
Phone
(541) 283-5919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2691 OR Primary

Addresses

Primary practice location

607 SW Hurbert St
103
Newport, OR 97365-4998

Mailing address

607 SW Hurbert St
103
Newport, OR 97365-4998
Phone (541) 283-5919

National Provider Directory

National Provider Directory

Locations

607 SW Hurbert St
Ste 103
Newport, OR 97365
Phone (541) 270-4717

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1770024606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SW HURBERT ST",
            "address_2": "103",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654998",
            "telephone_number": "541-283-5919",
            "fax_number": "541-272-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SW HURBERT ST",
            "address_2": "103",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654998",
            "telephone_number": "541-283-5919",
            "fax_number": "541-272-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "ROSCKOWFF",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-283-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.