Organization Active NPI

Harvard Counseling Center

  • Community/Behavioral Health Agency
  • Roseburg, OR
National Provider Identifier
1932309226
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L2416 Issued in OR
Legal business name
HARVARD COUNSELING CENTER
Practice address
1813 W Harvard Ave
Suite 230
Roseburg, OR 97470-2752
Phone
(541) 464-4900
Fax
(541) 464-4577
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Ms. Mary Therese Fortier, LCSW
Title
President/LCSW
Phone
(541) 464-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L2416 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave
Suite 230
Roseburg, OR 97470-2752

Mailing address

1813 W Harvard Ave
Suite 230
Roseburg, OR 97470-2752
Phone (541) 464-4900

National Provider Directory

National Provider Directory

Locations

1813 W Harvard Ave
Ste 230
Roseburg, OR 97471
Phone (503) 372-6016

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1932309226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 230",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-464-4900",
            "fax_number": "541-464-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 230",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-464-4900",
            "fax_number": "541-464-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "FORTIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PRESIDENT/LCSW",
        "authorized_official_telephone_number": "541-464-4900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L2416",
            "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 Jul 24, 2007; 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.