JAMES G BEARDSLEY (NPI# 1134694003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134694003 |
| Entity Type | Individual |
| Full Name | JAMES G BEARDSLEY |
| Practice Address |
2575 Westgate Bldg 1 Pendleton OR 97801-9613 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5414298721 |
| Practice Fax Number | 5414298720 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626104 | James Richard Beardsley | Pharmacist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-12-16 |
| 1770071557 | James A Beardsley | Case Manager/Care Coordinator | 2411 Seaman St, Toledo, OH 43605-1519 | 2018-04-26 |
| Street Address |
2575 WESTGATE BLDG 1 |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295072767 | Kimberly Seavert | Social Worker | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2013-01-03 |
| 1063076339 | Haley A Young | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2019-04-23 |
| 1609333632 | Lacey Evans | Registered Nurse | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2019-02-26 |
| 1891265617 | Mildred J Sims | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-12-05 |
| 1649740390 | Rafael Bedolla | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-11-26 |
| 1265927099 | Jon Everett Young | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-06-25 |
| 1184123119 | Jessamy J Otteson | Registered Nurse | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-02-05 |
| 1619485364 | Maria A Simpson | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-01-16 |
| 1902344559 | Christopher Bounds | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2017-02-03 |
| 1285179515 | Christina Moe | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819002 | Sheffie Dan Surber Jr. | Counselor | 2575 Westgate Bldg 13, Pendleton, OR 97801-9613 | 2020-04-07 |
| 1043840242 | Tallant Counseling Services | Counselor | 207 W State St Apt D, Pendleton, IN 46064-1063 | 2020-01-16 |
| 1477192318 | Rod Paul Harwood | Counselor | 914 Nw 6th St, Pendleton, OR 97801-1324 | 2019-12-23 |
| 1649785395 | Jessica L Smith | Counselor | 2575 Westgate Bldg B, Pendleton, OR 97801-9613 | 2017-12-04 |
| 1467811935 | Armandina Beliz | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2016-02-12 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1114254208 | Cathy Lea Torres | Counselor | 331 Se 2d St, Pendleton, OR 97801 | 2009-11-10 |
| 1750504171 | Linda Elliott | Counselor | 1927 Deer Xing, Pendleton, IN 46064-9257 | 2007-04-11 |
| 1609494640 | Robert Aj Brown | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2020-07-07 |
| 1962039602 | Mia Phae | Counselor | 2575 Westgate Bldg 3, Pendleton, OR 97801-9613 | 2020-03-24 |
| Find all providers in PENDLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.