Active NPI
Ruth Parra Santana, CADC-I, CGAC-R, CRM
- Addiction (Substance Use Disorder) Counselor
- Beaverton, OR
National Provider Identifier
1972229771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24-05-11104
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500812258 | Medicaid | OR | |
| 23-CRM-1780 | Other | OR | MHACBO (CRM) |
| 24-05-11104 | Other | OR | MHACBO (CADC) |
| TG-23-191 | Other | OR | MHACBO (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
| License | State | Type | Specialty |
|---|---|---|---|
| TG-23-191 | OR | MD | Counselor |
| 23-CRM-1780 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction (Substance Use Disorder) Counselor
- Beaverton, OR
- NPI 1497104004
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.