Active NPI
Connie Prince
- Counselor
- North Bend, OR
National Provider Identifier
1942620133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1913 Meade St
North Bend, OR 97459-3432 - Phone
- (541) 756-4508
- NPI assigned
- Apr 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1913 Meade St
North Bend, OR 97459-3432
Mailing address
1913 Meade St
North Bend, OR 97459-3432
Phone (541) 756-4508
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Adolescent Study & Treatment Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- North Bend, OR
- NPI 1518244888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1942620133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 MEADE ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593432",
"telephone_number": "541-756-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 MEADE ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593432",
"telephone_number": "541-756-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-26",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.