Individual provider Active NPI

Nicole Beaman

  • Addiction (Substance Use Disorder) Counselor
  • The Dalles, OR
National Provider Identifier
1922875723
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
26-03-20711 Issued in OR
Practice address
1060 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-5452
NPI assigned
Dec 11, 2023
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26-03-20711 OR Primary
Case Manager/Care Coordinator 171M00000X 26-QMHA-I-005573 OR

Addresses

Primary practice location

1060 Webber St
The Dalles, OR 97058-3749

Mailing address

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

Other practice location 1

1610 Woods Ct
Hood River, OR 97031-2911
Phone (541) 386-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26-QMHA-I-005573ORMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Dec 17, 2023 Accepting new patients
Mid-Columbia Center for Living Addiction (Substance Use Disorder) CurrentSince Sep 2, 2014 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients

Locations

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

1060 Webber St
The Dalles, OR 97058

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1922875723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Woods Ct",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970312911",
            "country_code": "US",
            "telephone_number": "541-386-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "26-03-20711",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "26-QMHA-I-005573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.