TINA DUTTON (NPI# 1326174046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326174046 |
| Entity Type | Individual |
| Full Name | TINA DUTTON |
| Credential | LPC |
| Practice Address |
1215 Sw G. Street Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Practice Fax Number | 5414761526 |
| Mailing Telephone | 5414762373 |
| Mailing Fax Number | 5414761526 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4058 | OR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
P0611064 | AR | Behavioral Health & Social Service Providers |
| Street Address |
1215 SW G. STREET |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871192 | Jaylene Crane | Behavior Technician | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-10-13 |
| 1992157101 | Dennis Michael Kiser | Peer Specialist | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-07-12 |
| 1508212150 | Joseph Michael Cain | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-05-12 |
| 1811341555 | Orin D Bolstad | Psychologist | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-04-19 |
| 1104270842 | Selena Rose Alderson | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-04-19 |
| 1568824464 | William Tippin | Peer Specialist | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-03-22 |
| 1366804262 | Herbert Milliora | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-03-22 |
| 1316307002 | Luke Pierce Sr. | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-02-24 |
| 1689034373 | Patricia Pierce | Peer Specialist | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-02-24 |
| 1225497506 | Jennifer Louise Copeland | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2016-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912216326 | Autumn Melody Whaley | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2010-10-03 |
| 1144463050 | Jane Powell | Counselor | 980 Sw 6th St Ste 18, Grants Pass, OR 97526-2910 | 2009-04-08 |
| 1679765689 | Kirby L Nave | Counselor | 1590 Se N St Ste C, Grants Pass, OR 97526-3905 | 2007-08-14 |
| 1699837674 | Esther Florence Goldberg | Counselor | 531 Ne 'e' St., Suite B, Grants Pass, OR 97526 | 2006-12-15 |
| 1801906805 | Scenic Rivers Psychiatric Associates PC | Counselor | 408 Ament Rd, Grants Pass, OR 97526-3916 | 2006-08-30 |
| 1053959239 | Cory Campbell | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-12-18 |
| 1184103301 | B.h. Counseling | Counselor | 1201 Ne 7th St Ste C, Grants Pass, OR 97526 | 2018-08-08 |
| 1881072502 | Desiree Martinez | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2015-05-14 |
| 1801214796 | Alan Armstrong | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2014-03-28 |
| 1265858658 | Robert E Lieberman | Counselor | 1590 Se N St, Grants Pass, OR 97526-3905 | 2014-03-10 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on TINA DUTTON.
| 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.