Active NPI
Ellen Jean Hyde
- Mental Health Counselor
- South Beach, OR
National Provider Identifier
1780050252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4909 S Coast Hwy
Suite 1
South Beach, OR 97366-9648 - Phone
- (541) 574-5960
- Fax
- (541) 265-0601
- NPI assigned
- Aug 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4909 S Coast Hwy
Suite 1
South Beach, OR 97366-9648
Mailing address
36 SW Nye St
Lincoln County Health and Human Services
Newport, OR 97365
Phone (541) 574-5960
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lincoln | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, OR
- NPI 1740061878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1780050252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SW NYE ST",
"address_2": "LINCOLN COUNTY HEALTH AND HUMAN SERVICES",
"city": "NEWPORT",
"state": "OR",
"postal_code": "97365",
"telephone_number": "541-574-5960",
"fax_number": "541-265-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 S COAST HWY",
"address_2": "SUITE 1",
"city": "SOUTH BEACH",
"state": "OR",
"postal_code": "973669648",
"telephone_number": "541-574-5960",
"fax_number": "541-265-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "ELLEN",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.