Active NPI
November Delta Counseling, LLC
- Clinical Social Worker
- Coos Bay, OR
National Provider Identifier
1871497255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NOVEMBER DELTA COUNSELING, LLC
- Practice address
- 632 Anderson Ave Ste L
Coos Bay, OR 97420-1637 - Phone
- (385) 285-0386
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Young, LCSW
- Title
- Owner
- Phone
- (385) 285-0386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
632 Anderson Ave Ste L
Coos Bay, OR 97420-1637
Mailing address
632 Anderson Ave Ste L
Coos Bay, OR 97420-1637
Phone (385) 285-0386
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Coos Bay, OR
- NPI 1467124602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1871497255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 ANDERSON AVE STE L",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201637",
"telephone_number": "385-285-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 ANDERSON AVE STE L",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201637",
"telephone_number": "385-285-0386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVEMBER DELTA COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-285-0386",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
- North Bend Medical Center
- North Bend Medical Center Inc (NBMC-Xray Ekg)
- North Bend Medical Center Inc (NBMC-Day Surgery)
- North Bend Medical Center Inc (NBMC-Main)
- North Bend Medical Center Inc (NBMC-Laboratory)
- Melissa Novotny, RN IBCLC
- Julia Beth Nowak, OTD
- Wojciech Nowak, D.O., PHD
- Darin O'Bryan, DDS
- Caitlin O'Reilly
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.