Emily Alexandria Prevo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-23-2789 Issued in OR

Practice address

3700 Midway Dr
Baker City, OR 97814-1456

Phone

(541) 523-8320

Fax

(541) 523-8325

NPI assigned

Jun 27, 2023

Last updated

Jan 3, 2024By 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 2

Addresses

Other identifiers 1

Other names 1

• Emily Alexandria Prevo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• New Directions Northwest, Inc

  • Community/Behavioral Health Agency
  • Baker City, OR
  • NPI 1235124462
  NPD
• New Directions Northwest, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Baker City, OR
  • NPI 1972864759
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1841976479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 13TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141340",
            "telephone_number": "541-523-7400",
            "fax_number": "541-523-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-8320",
            "fax_number": "541-523-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVO",
        "first_name": "EMILY",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-01-03",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-23-2789",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODL",
            "identifier": "B093405",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PREVO",
            "middle_name": "ALEXANDRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makayla Nichole Plumbtree, OTD, OTR
• Janet Plumley, RPH
• Savannah Lee Podliska, CPHT
• Kathleen Pollard-Brue
• Tovah Potter, CADC I
• Edward Briton Price
• Candis A Prince
• James W Pritchett, LCSW
• Julie Ann Pritchett
• Jolynn Marie Radinovich

• Addiction (Substance Use Disorder) Counselor in Baker City, OR
• Providers in Baker City, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.