Megan Ridle, LPC, CADC-I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3464 Issued in OR

Practice address

281 Laclair St
Coos Bay, OR 97420-2988

Phone

(541) 266-6700

Fax

(541) 888-8726

NPI assigned

Sep 8, 2008

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coos County Oregon

  dba Coos Health & Wellness

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1811981053

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1841448396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MCPHERSON ST,",
            "address_2": "STE, 200",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-751-2505",
            "fax_number": "541-751-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6700",
            "fax_number": "541-888-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLE",
        "first_name": "MEGAN",
        "credential": "LPC, CADC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "10-09-46",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3464",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Chan Reynon, PT
• Andrew J Rice, MD, PHD
• Steven D Richardson, DMD
• Warren Steven Richardson, MD
• Sharon Lee Richmond, LMT
• Christopher Hales Riehl, PA-C
• Richard T Rigney
• Andrew Douglas Ringle, DDS
• Rising Moon Therapy, LLC
• Rivers Edge Behavioral Health LLC

• Mental Health Counselor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.