NICHOLAS LANDRETH (NPI# 1376901959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376901959 |
| Entity Type | Individual |
| Full Name | NICHOLAS LANDRETH |
| Practice Address |
70362 Kunze Ln Boardman OR 97818-8013 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5414813233 |
| Practice Fax Number | 5414813234 |
| Mailing Telephone | 5413102010 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| 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 |
| Street Address |
70362 KUNZE LN |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673513 | Oregon Regional Behavioral Services | Psychiatric Residential Treatment Facility | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2006-07-19 |
| 1801423538 | Angela Marie Mendoza | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-24 |
| 1831725308 | Colleen Sonja Drake | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-17 |
| 1629603196 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2020-03-05 |
| 1467001693 | Cynthia J Vieira | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-09-10 |
| 1073161790 | Carla C Llamas | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-08-27 |
| 1851949572 | Nancy J Keith | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-08-27 |
| 1700443116 | Donna K Loftus | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-05-21 |
| 1932763554 | Teresa Resendiz-rodriguez | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-04-29 |
| 1962066233 | Jessica R Chavez | Counselor | 70362 Kunze Ln, Boardman, OR 97818-8013 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| Find all providers in zip 97818 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1245870492 | Sara M. Channell | Counselor | 955 Windham Ct Ste 2, Boardman, OH 44512-5035 | 2020-01-15 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1447808845 | Kelsey Anne Phillips | Counselor | 955 Windham Court, Suite 2, Boardman, OH 44512-5035 | 2019-08-28 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1437617016 | Mind & Body Counseling Solutions | Counselor | 34 Fairlawn Ave, Boardman, OH 44512-1561 | 2019-03-03 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1336512367 | Megan Elizabeth Mcconnell | Counselor | 833 Boardman Canfield Rd Ste 105, Boardman, OH 44512-4236 | 2015-11-13 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| Find all providers in BOARDMAN | ||||
Please comment or provide details below to improve the information on NICHOLAS LANDRETH.
| 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.