Individual provider Active NPI

Steven C Sanden, CADC I, CRM, PWS

  • Addiction (Substance Use Disorder) Counselor
  • Coos Bay, OR
National Provider Identifier
1982172730
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12-09-43 Issued in OR
Practice address
155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone
(541) 756-3111
Fax
(541) 756-2111
NPI assigned
Nov 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19-QMHA-I-00760 OR
Peer Specialist 175T00000X THW000001281 OR
Peer Specialist 175T00000X 11-CRM-070 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 12-09-43 OR Primary

Addresses

Primary practice location

155 S Empire Blvd
Coos Bay, OR 97420-3374

Mailing address

1942 Sheridan Ave
North Bend, OR 97459-3416
Phone (541) 756-3111

Other practice location 1

1741 Newmark Ave
Coos Bay, OR 97420-4704
Phone (541) 756-3111

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
19-QMHA-I-00760ORMDMental Health Counselor
11-CRM-070ORMDPeer Specialist
THW000001281ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area First Step, Inc. 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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1982172730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 SHERIDAN AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593416",
            "telephone_number": "541-756-3111",
            "fax_number": "541-756-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S EMPIRE BLVD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203374",
            "telephone_number": "541-756-3111",
            "fax_number": "541-756-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Newmark Ave",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974204704",
            "country_code": "US",
            "telephone_number": "541-756-3111",
            "fax_number": "541-756-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDEN",
        "first_name": "STEVEN",
        "middle_name": "C",
        "credential": "CADC I, CRM, PWS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "19-QMHA-I-00760",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000001281",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "11-CRM-070",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-09-43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.