SUCCESS CONSULTANTS OF SOUTHERN OREGON (NPI# 1447862065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447862065 |
| Entity Type | Organization |
| Organization Name | SUCCESS CONSULTANTS OF SOUTHERN OREGON |
| Practice Address |
418 Nw 6th St Grants Pass OR 97526-2006 |
| Practice Telephone | 5417616346 |
| Practice Fax Number | 5412166300 |
| Mailing Telephone | 5417616346 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | MRS. CRYSTAL ROXANNE LEE (OWNER) |
| Authorized Official Telephone | 5417616346 |
| Authorized Official Credential | CADC II, NCIP, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Success Consultants of Southern Oregon | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUCCESS CONSULTANTS OF SOUTHERN OREGON | 300 Elkhorn Dr, Grants Pass, OR 97527 |
| Oregon Corporations, Companies and Business Names | SUCCESS CONSULTANTS OF SOUTHERN OREGON, LLC | 111 Nw C Street, Grants Pass, OR 97526 |
| Street Address |
418 NW 6TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401043 | Adapt | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2007-11-19 |
| 1083266092 | Tina Marshall | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2019-07-10 |
| 1801351465 | Anna Waldon | Peer Specialist | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2019-02-07 |
| 1851899769 | Heather Ferber | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2018-01-25 |
| 1295261238 | Halena Robbins | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2017-05-11 |
| 1386170736 | Troy Winger | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2017-05-04 |
| 1912366139 | Glenda Lee Lewis | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-16 |
| 1750740205 | Mindy Lucille Martin | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-12 |
| 1477912921 | Alysha Marie Meadows | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-12 |
| 1083073530 | Robert W Morgan | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-12 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1346889615 | Shawna A Valadez | Counselor | 109 N.e. Manzanita Avenue, Grants Pass, OR 97526-1400 | 2020-01-03 |
| 1033753314 | Wade Counseling and Mentoring Services | Counselor | 232 Sw 6th St, Grants Pass, OR 97526-2406 | 2019-10-30 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1255822110 | Pamela Dee Kelley | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-05-25 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1376902825 | James A Malan | Counselor | 324 Sw Ramsey, Grants Pass, OR 97527-5529 | 2016-02-12 |
| 1871968602 | Jeffrey A Christophersen | Counselor | 109 Nw Manzanita Ave, Grants Pass, OR 97526 | 2015-12-04 |
| 1649649211 | Carol L Stephens | Counselor | 109 N.e. Manzanita Ave, Grants Pass, OR 97526-1400 | 2015-09-24 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on SUCCESS CONSULTANTS OF SOUTHERN OREGON.
| 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.