Corey Wayne Strong, CRM, NCTTP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

19-CRM-246 Issued in OR

Practice address

200 Gwee Shut Rd
Siletz, OR 97380-2036

Phone

(541) 444-9682

NPI assigned

Nov 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: corey.strong.p1@direct.siletzhealthclinic.nextgenshare.com

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1902441561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973800320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE SHUT RD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973802036",
            "telephone_number": "541-444-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "COREY",
        "middle_name": "WAYNE",
        "credential": "CRM, NCTTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "19-CRM-246",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "19-CRM-246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Stam, LMT
• Gordon Rodney Stanger, DDS
• Lorene Stanger, O.D.
• Wylie Stokes, CRM, PRC
• Harmony Stout, CADC-R
• Ashley Evelyn Taylor, DDS
• Lisa D Taylor, NP
• Katie Ann Thomas
• Nicholas Cal Vandersloot, PHARM.D.
• Chelcy Rosaleen Villanueva

• Addiction (Substance Use Disorder) Counselor in Siletz, OR
• Providers in Siletz, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.