Individual provider Active NPI

Ruth Parra Santana, CADC-I, CGAC-R, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Beaverton, OR
National Provider Identifier
1972229771
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24-05-11104 Issued in OR
Practice address
3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020
Phone
(503) 626-1800
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 23-CRM-1780 OR
Counselor 101Y00000X TG-23-191 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-05-11104 OR Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020

Mailing address

3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020
Phone (503) 626-1800

Other identifiers 4

IdentifierTypeStateIssuer
500812258MedicaidOR
23-CRM-1780OtherORMHACBO (CRM)
24-05-11104OtherORMHACBO (CADC)
TG-23-191OtherORMHACBO (CGAC)

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
TG-23-191ORMDCounselor
23-CRM-1780ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Group NW LLC Counselor 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.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1972229771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 170",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052020",
            "telephone_number": "503-626-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 170",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052020",
            "telephone_number": "503-626-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA SANTANA",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "CADC-I, CGAC-R, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-1780",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "TG-23-191",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-05-11104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500812258",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO (CRM)",
            "identifier": "23-CRM-1780",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO (CADC)",
            "identifier": "24-05-11104",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO (CGAC)",
            "identifier": "TG-23-191",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.