MR. LAWRENCE SQUIEMPHEN (NPI# 1669948857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669948857 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE SQUIEMPHEN |
| Credential | CADC I |
| Practice Address |
125 Sw C St Madras OR 97741-1458 |
| Mailing Address |
1435 Ne 4th St Ste B Bend OR 97701-4268 |
| Practice Telephone | 5413064566 |
| Practice Fax Number | 5413209005 |
| Mailing Telephone | 5413064446 |
| Mailing Fax Number | 5415502011 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T-17-163 | OR | Behavioral Health & Social Service Providers |
| Street Address |
125 SW C ST |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215008354 | William Steven Herz | Psychiatry & Neurology | 125 Sw C St, Madras, OR 97741-1458 | 2006-11-12 |
| 1124646401 | Tammi Beard | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2020-07-13 |
| 1811528573 | Jennifer A Cleem | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2020-01-31 |
| 1326679085 | Erin M Boyd | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2020-01-31 |
| 1568021855 | Brandon L Cleem | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2019-06-10 |
| 1659937852 | Amy L Bristow | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2019-05-13 |
| 1033672613 | Gabrielle M Meese | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2019-04-10 |
| 1104383645 | Markell Peterson | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2019-02-20 |
| 1588120448 | Cayla N Pearson | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2019-02-15 |
| 1831655794 | Mischell B Espinoza | Peer Specialist | 125 Sw C St, Madras, OR 97741-1458 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1467890129 | Eileen Myers | Counselor | 241 Se 6th St, Madras, OR 97741-1635 | 2013-06-04 |
| 1215571500 | Athena Emerson | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-10-30 |
| 1033672613 | Gabrielle M Meese | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2019-04-10 |
| 1104383645 | Markell Peterson | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2019-02-20 |
| 1376017400 | Richard Choate | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-01-11 |
| 1942775648 | James Hale | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-10-09 |
| 1346726460 | Melinda Garcia | Counselor | 850 Sw 4th St, Madras, OR 97741 | 2018-07-11 |
| 1912492174 | Cheristy Anderson | Counselor | 850 Sw 4th St, Madras, OR 97741 | 2018-06-28 |
| 1982194924 | Aldo Garcia | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-05-15 |
| Find all providers in MADRAS | ||||
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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.