Organization Active NPI

Adapt

  • Addiction (Substance Use Disorder) Counselor
  • Roseburg, OR
National Provider Identifier
1902330236
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAPTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Adapt21 organizations share this tax ID, including this one
Part of
Adapt

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

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.

Verify at the official NPI Registry.