Patrick Secrest

Primary specialty

CounselorTaxonomy code 101Y00000X

License

20-03-14 Issued in OR

Practice address

1885 NE 7TH St
Grants Pass, OR 97526-3403

Phone

(541) 660-5420

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1871267534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263403",
            "telephone_number": "541-660-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263403",
            "telephone_number": "541-660-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECREST",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "20-03-14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO",
            "identifier": "20-03-14",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ORTC.CARE",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORTC.CARE",
            "address_1": "1885 NE 7th St",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975263403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisa D Scott, LMT
• Andrew James Scott, RPH
• Kadence Scott, QMHA
• Alison Searl Hall
• Mersades Jan Secrest
• Joseph Sedillo
• Diane Louise Seehawer, RD
• Harvey Seeley
• Summers D Seely, RNFA
• Amy Segovia

• Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.