BROOKE ANSOTEGUI (NPI# 1922580778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922580778 |
| Entity Type | Individual |
| Full Name | BROOKE ANSOTEGUI |
| Practice Address |
422 N Main St Condon OR 97823-7651 |
| Mailing Address |
Po Box 705 Condon OR 97823-0705 |
| Practice Telephone | 5413842666 |
| Mailing Telephone | 5413842666 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
422 N MAIN ST |
| City | CONDON |
| State | OR |
| Zip Code | 97823-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364937 | Damon Michael Holland | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2019-09-04 |
| 1710475769 | Sarah Danielle Sperry | Physician Assistant | 422 N Main St, Condon, OR 97823-7651 | 2018-04-25 |
| 1518394345 | Community Counseling Solutions | Community/Behavioral Health | 422 N Main St, Condon, OR 97823-7651 | 2013-10-11 |
| 1285844407 | Michael Takagi | Physician Assistant | 422 N Main St, Condon, OR 97823-7651 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921553 | Amanda Rae Hendricks | Massage Therapist | 601 E. Court St, Condon, OR 97823 | 2018-08-09 |
| 1588964407 | South Gilliam County Health Dist | Clinic/Center | 422 North Main St., Condon, OR 97823 | 2010-10-26 |
| 1467505883 | South Gilliam County Ambulance | Ambulance | 422 N Main, Condon, OR 97823-0085 | 2007-01-19 |
| 1376608901 | Bruce D. Carlson | Clinic/Center | 422 N Main, Condon, OR 97823-0705 | 2006-12-26 |
| 1972636868 | Roderick K. Murray | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1336272244 | Stephanie J. Thomas | Pharmacy Technician | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1144353962 | Murray Drugs, Inc. | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1285064709 | North Central Education Service District | Local Education Agency (LEA) | 135 S Main St, Condon, OR 97823-2057 | 2013-11-19 |
| 1801223599 | Anna Charapata | Pharmacist | 225 S Main St, Condon, OR 97823-2058 | 2013-09-26 |
| 1124382171 | Lisa Helms | Counselor | 422 N Main, Condon, OR 97823-7651 | 2012-06-25 |
| Find all providers in zip 97823 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1225637671 | Lisa Sturdivant | Counselor | 17321 Sw Woodhaven Dr, Sherwood, OR 97140-8225 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
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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.