Individual provider Active NPI

Tristin L Fouche

  • Clinical Social Worker
  • Ashland, OR
National Provider Identifier
1861976953
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018413 Issued in NC
Practice address
233 4TH St Ste 5
Ashland, OR 97520-2043
Phone
(541) 241-8925
Fax
(800) 433-1396
NPI assigned
Sep 24, 2018
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018413 NC Primary

Addresses

Primary practice location

233 4TH St Ste 5
Ashland, OR 97520-2043

Mailing address

PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655

Other practice location 1

303 Airport Rd
Arden, NC 28704-8402
Phone (828) 698-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230227002636 CA Practitioner - Clinical Social Worker 9133533656 Reassigns benefits to 1 organization
I20240920000776 OR Practitioner - Clinical Social Worker 9133533656 Reassigns benefits to 1 organization
I20250625002545 NC Practitioner - Clinical Social Worker 9133533656 Reassigns benefits to 17 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018413NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Jan 28, 2023 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 13, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Meridian Behavioral Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Oct 3, 2025 Accepting new patients
Meridian Behavioral Health Services CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Black Lotus Therapy Mental Health CurrentSince Jul 8, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Oct 3, 2025 Accepting new patients
Blue Ridge Community Health Services Inc Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Meridian Behavioral Health Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

29 W French Broad St
Ste 210
Brevard, NC 28712
Phone (828) 883-5550

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

293 Hospital Rd
Ste C
Sylva, NC 28779
Phone (828) 477-4334

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 586-5501

1207 East St
Waynesville, NC 28786
Phone (828) 456-2997

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

233 4th St
Ste 5
Ashland, OR 97520
Phone (541) 241-8925

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

Interoperability endpoints

  • Direct secure messaging: tristin.victor.1@21884.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1861976953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 4TH ST STE 5",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-241-8925",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048402",
            "country_code": "US",
            "telephone_number": "828-698-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUCHE",
        "first_name": "TRISTIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.