Alexis Rachelle Hurd, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

612 SE Jackson St Ste 11
Roseburg, OR 97470-4956

Phone

(541) 464-6455

Fax

(541) 464-6457

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alexis Rachelle Hurd-Shires Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1962698969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST STE 11",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704956",
            "telephone_number": "541-464-6455",
            "fax_number": "541-464-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST STE 11",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704956",
            "telephone_number": "541-464-6455",
            "fax_number": "541-464-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "ALEXIS",
        "middle_name": "RACHELLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "T-LMSW 6923",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HURD-SHIRES",
            "middle_name": "RACHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles P Hundley, DO
• Austin Hunsaker
• Patrick Hunt
• Imeya Raye Huntley, QMHA
• Shahaylie Huntley
• Leslie Hurley
• Kevin Scott Huskey
• Kacie Huson, LCSW
• Dan Richard Ibarra, P.T.
• Icco LLC

• Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.