Active NPI
Harvard Counseling Center
- Community/Behavioral Health Agency
- Roseburg, OR
National Provider Identifier
1932309226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L2416
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.