ADAPT (NPI# 1902330236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902330236 |
| Entity Type | Organization |
| Organization Name | ADAPT |
| Practice Address |
548 Se Jackson St Roseburg OR 97470-4983 |
| Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
| Practice Telephone | 5414920134 |
| Practice Fax Number | 5416735642 |
| Mailing Telephone | 5416722691 |
| Mailing Fax Number | 5416735642 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | DEBBIE PHILLIPS (DIRECTOR OF CLIENT SERVICES) |
| Authorized Official Telephone | 5414920134 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAPT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508295668 | Adapt | Counselor | 1215 Se Court Ave, Roseburg, OR 97470-4329 | 2013-11-08 |
| 1174952238 | Adapt | Counselor | 550 Se Jackson St, Roseburg, OR 97470-4923 | 2013-11-08 |
| 1639508708 | Adapt | Counselor | 1036 Se Douglas Ave, Roseburg, OR 97470-3301 | 2013-11-08 |
| 1235568155 | Adapt | Counselor | 1950 Winchester Ave, Reedsport, OR 97467-1151 | 2013-11-01 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1649453440 | Adapt | Substance Abuse Rehabilitation Facility | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2007-12-14 |
| 1144401043 | Adapt | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2007-11-19 |
| 1912061755 | Adapt | Family Medicine | 671 Sw Main, Winston, OR 97496-0012 | 2006-12-19 |
| 1750373346 | Adapt | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2005-08-18 |
| 1861967648 | Adapt | Clinic/Center | 671 Sw Main St, Winston, OR 97496-6571 | 2018-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADAPT | 621 W Madrone St, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | ADAPT | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Colorado Business Entities | Adapt | 14260 E 104th Ave, 4-301, Commerce City, CO 80022 |
| Oregon Corporations, Companies and Business Names | ADAPT & TRIUMPH | 2757 Nw 7th St Ste A, Redmond, OR 97756 |
| Virginia Business Entities | AdaPt 2 HeaLing LLC | 1806 Summit Ave Ste 300, Richmond, Virginia 23230-4339 |
| System for Award Management (SAM) Entities | ADAPT 2 IT, INC. | 24100 El Toro Rd Ste E, Laguna Woods, CA 92637-3129 |
| System for Award Management (SAM) Entities | ADAPT A RAMP | 170 Fuller Rd Unit 6, Ajax, ON L1S 7G8, CAN |
| New York State Corporations | ADAPT ABILITY INC. | 610 5th Ave., 1st Floor, Brooklyn, Ny 11215 |
| New York State Corporations | ADAPT ACCESSIBILITY LLC | 2160 Penfield Road, Suite 11, Penfield, New York 14526 |
| System for Award Management (SAM) Entities | ADAPT AD SPECIALTY | 13618 Lemay St, Van Nuys, CA 91401-1114 |
| Street Address |
548 SE JACKSON ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373346 | Adapt | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2005-08-18 |
| 1194322396 | Christopher Hudgeon | Case Manager/Care Coordinator | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-10-01 |
| 1245858232 | Melissa Burdett | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-07-07 |
| 1649897281 | Kimberly Brent | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-06-30 |
| 1720602626 | Laura Pulley | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-06-05 |
| 1871116756 | Abigail M Levere | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-05-26 |
| 1861011629 | Megan Bradlee Pinnell | Social Worker | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2020-04-13 |
| 1942858204 | Deborah Caskey | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-08-29 |
| 1841842853 | Michael Sidrian | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-07-10 |
| 1225697295 | Rachel Cress | Registered Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710330386 | Serenity Lane | Counselor | 2575 Nw Kline St, Roseburg, OR 97471-8827 | 2016-07-19 |
| 1306205984 | Susan Anne Dowell | Counselor | 548 Se Jackson Street, Roseburg, OR 97470-0254 | 2016-02-11 |
| 1528426517 | William C. Poulter | Counselor | 548 Sw Jackson St, Roseburg, OR 97470-2709 | 2016-02-04 |
| 1508295668 | Adapt | Counselor | 1215 Se Court Ave, Roseburg, OR 97470-4329 | 2013-11-08 |
| 1174952238 | Adapt | Counselor | 550 Se Jackson St, Roseburg, OR 97470-4923 | 2013-11-08 |
| 1639508708 | Adapt | Counselor | 1036 Se Douglas Ave, Roseburg, OR 97470-3301 | 2013-11-08 |
| 1245597582 | Alison Marie Hinson | Counselor | 850 Se Rose St, Roseburg, OR 97470-3942 | 2012-04-11 |
| 1114112133 | Delila S Donaldson | Counselor | 727 Se Cass Ave Ste 223, Roseburg, OR 97470-4953 | 2007-09-12 |
| 1639256431 | Linda Witbeck | Counselor | 913 Garden Valley Blvd, Bldg 2, Ward 2, Sartp, Roseburg, OR 97470 | 2006-11-01 |
| 1750373346 | Adapt | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2005-08-18 |
| Find all providers in ROSEBURG | ||||
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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.