Active NPI
Adapt
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
National Provider Identifier
1902330236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- ADAPT
- Practice address
- 548 SE Jackson St
Roseburg, OR 97470-4983 - Phone
- (541) 492-0134
- Fax
- (541) 673-5642
- NPI assigned
- Apr 13, 2017
- Last updated
- Dec 2, 2019
- Organization subpart
- Yes
- Parent organization
- ADAPT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Phillips
- Title
- Director of Client Services
- Phone
- (541) 492-0134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
548 SE Jackson St
Roseburg, OR 97470-4983
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200416000805 | OR | Part B Supplier - Opioid Treatment Program (Otp) | 4587662887 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Roseburg, OR; North Bend, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba North Bend OTP
- Addiction (Substance Use Disorder) Counselor
- North Bend, OR
- NPI 1497248025
O20200416000805
National Provider Directory
National Provider Directory- Tax ID family
- Adapt
- Part of
- Adapt
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
- NPI 1144401043
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1174952238
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1184350811
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
-
- Addiction (Substance Use Disorder) Counselor
- Reedsport, OR
- NPI 1235568155
-
- Adult Mental Health Clinic/Center
- Grants Pass, OR
- NPI 1477250603
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1508295668
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1639508708
-
- Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1649453440
Locations
548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575244800000",
"number": "1902330236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-672-2691",
"fax_number": "541-673-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 SE JACKSON ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974704983",
"telephone_number": "541-492-0134",
"fax_number": "541-673-5642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADAPT",
"enumeration_date": "2017-04-13",
"last_updated": "2019-12-02",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
"authorized_official_telephone_number": "541-492-0134"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.