| Adapt | |
|
621 W Madrone St Roseburg OR 97470-3090 | |
| (541) 672-2691 | |
| (541) 673-5642 |
| Full Name | Adapt |
|---|---|
| Speciality | Counselor |
| Location | 621 W Madrone St, Roseburg, Oregon |
| Authorized Official Name and Position | Bruce Piper (CEO) |
| Authorized Official Contact | 5416722691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Po Box 1121 Roseburg OR 97470-0254 Ph: (541) 672-2691 | Adapt 621 W Madrone St Roseburg OR 97470-3090 Ph: (541) 672-2691 |
| NPI Number | 1720010549 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 09/26/2018 |
| Medicare PECOS PAC ID | 4587662887 |
|---|---|
| Medicare Enrollment ID | O20061121000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720010549 | NPI | - | NPPES |
| 218156 | Medicaid | OR |
| Provider Name | Steven A Blum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619990108 PECOS PAC ID: 6305945833 Enrollment ID: I20071022000800 |
| Provider Name | George W Middlekauff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598797664 PECOS PAC ID: 6901989151 Enrollment ID: I20080211000545 |
| Provider Name | Theresa M Lundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578654661 PECOS PAC ID: 7113043985 Enrollment ID: I20100929000902 |
| Provider Name | Cindy L Shirtcliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982760344 PECOS PAC ID: 4385831882 Enrollment ID: I20101209000912 |
| Provider Name | Skyler S Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952673709 PECOS PAC ID: 2062676380 Enrollment ID: I20120615000406 |
| Provider Name | Laurance W Choate |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598737033 PECOS PAC ID: 3577591932 Enrollment ID: I20121228000443 |
| Provider Name | Bryan D Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279102 PECOS PAC ID: 7911133145 Enrollment ID: I20131118001970 |
| Provider Name | Steven W Jeffers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437338928 PECOS PAC ID: 5092907881 Enrollment ID: I20131204001865 |
| Provider Name | Cora G Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083016695 PECOS PAC ID: 5395068019 Enrollment ID: I20150102000973 |
| Provider Name | Natalie A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851660344 PECOS PAC ID: 0840511531 Enrollment ID: I20150605002492 |
| Provider Name | Toni L Hurlocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891062642 PECOS PAC ID: 4688985831 Enrollment ID: I20150615002557 |
| Provider Name | Marcia Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952729634 PECOS PAC ID: 5193025997 Enrollment ID: I20151201000927 |
| Provider Name | Kathleen M Waybrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942273008 PECOS PAC ID: 8820396344 Enrollment ID: I20160418001396 |
| Provider Name | Marcy Ellen Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265983431 PECOS PAC ID: 5395025456 Enrollment ID: I20161206002406 |
| Provider Name | John W Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609895341 PECOS PAC ID: 6608020490 Enrollment ID: I20170207000492 |
| Provider Name | Wendelyn K Seal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396143277 PECOS PAC ID: 8729355813 Enrollment ID: I20170519001776 |
| Provider Name | Kindall S Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184977118 PECOS PAC ID: 6709151574 Enrollment ID: I20171004000781 |
| Provider Name | Suzanne R Dudek Dewbre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251072 PECOS PAC ID: 4284909862 Enrollment ID: I20171006002551 |
| Provider Name | Mary C Garwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437668282 PECOS PAC ID: 9537426259 Enrollment ID: I20171204002962 |
| Provider Name | Susan F Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225306574 PECOS PAC ID: 0749508372 Enrollment ID: I20180108002843 |
| Provider Name | Terri L Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811997935 PECOS PAC ID: 5395784367 Enrollment ID: I20180307001246 |
| Provider Name | Robert J Lydon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407137235 PECOS PAC ID: 4688935596 Enrollment ID: I20180309000222 |
| Provider Name | Carlynn M Mcinerny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174925978 PECOS PAC ID: 0042596017 Enrollment ID: I20180326001882 |
| Provider Name | Kimie A Frakes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891955332 PECOS PAC ID: 8325393887 Enrollment ID: I20180625001835 |
| Provider Name | Tisha M Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954855 PECOS PAC ID: 2668791351 Enrollment ID: I20181105000870 |
| Provider Name | Michelle Ellsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700245164 PECOS PAC ID: 2769728930 Enrollment ID: I20190108003968 |
| Provider Name | Deborah A Dhillon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861641227 PECOS PAC ID: 9234479353 Enrollment ID: I20190327000616 |
| Provider Name | Heather Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003242173 PECOS PAC ID: 2567797327 Enrollment ID: I20190716002026 |
| Provider Name | Kathleen Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831240324 PECOS PAC ID: 6709970213 Enrollment ID: I20191015002339 |
| Provider Name | Babette D Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861848160 PECOS PAC ID: 5799117628 Enrollment ID: I20191114003398 |
| Provider Name | Erin M Leonard Durrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518414192 PECOS PAC ID: 4284060328 Enrollment ID: I20200207001704 |
| Provider Name | Cheryl D Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578082822 PECOS PAC ID: 9739593997 Enrollment ID: I20210128002740 |
| Provider Name | Thaen Saelee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831388461 PECOS PAC ID: 6507270790 Enrollment ID: I20210129001131 |
| Provider Name | Jaime L Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215506316 PECOS PAC ID: 0941607105 Enrollment ID: I20210930001965 |
| Provider Name | Jennie L Gohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417614611 PECOS PAC ID: 7012303837 Enrollment ID: I20220404002708 |
| Provider Name | Lauren M Broussard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922358720 PECOS PAC ID: 3476931759 Enrollment ID: I20220526002288 |
| Provider Name | Amber S Wilkinson-polomsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255843363 PECOS PAC ID: 1153709076 Enrollment ID: I20220606002174 |
| Provider Name | Rebekah A Tripp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720735277 PECOS PAC ID: 7911387196 Enrollment ID: I20220706000604 |
| Provider Name | Toni A Zimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568977981 PECOS PAC ID: 7719231091 Enrollment ID: I20220727003194 |
| Provider Name | Julie A Hargraves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558520924 PECOS PAC ID: 6305970641 Enrollment ID: I20220728002777 |
| Provider Name | Amanda J Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993176 PECOS PAC ID: 1759652928 Enrollment ID: I20230130002510 |
| Provider Name | Celeste Huffaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104303833 PECOS PAC ID: 2961869524 Enrollment ID: I20230613002258 |
| Provider Name | Gabrielle A Bosworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437618691 PECOS PAC ID: 5597183814 Enrollment ID: I20230921002472 |
| Provider Name | Katie A Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770776551 PECOS PAC ID: 7911354907 Enrollment ID: I20231113003229 |
| Provider Name | Hazel Berry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184017444 PECOS PAC ID: 2163870338 Enrollment ID: I20231128003392 |
| Provider Name | Barbara C Farrand |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1710245469 PECOS PAC ID: 6608224894 Enrollment ID: I20231129000447 |
| Provider Name | Susan Carol Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124705660 PECOS PAC ID: 6800245911 Enrollment ID: I20231214003478 |
| Provider Name | Erica May Ishmael |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992161814 PECOS PAC ID: 2264882463 Enrollment ID: I20240102000024 |
| Provider Name | Christopher M Bernardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760974364 PECOS PAC ID: 4789034893 Enrollment ID: I20240102000791 |
| Provider Name | Carly Jo Blemmel |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1194116715 PECOS PAC ID: 8325498405 Enrollment ID: I20240102002759 |
| Provider Name | Jeremiah J Hatcher |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1528574647 PECOS PAC ID: 1456701465 Enrollment ID: I20240103000001 |
| Provider Name | Karla Jean Whitlock |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1659504819 PECOS PAC ID: 3779934203 Enrollment ID: I20240109004694 |
| Provider Name | Jayson Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598198954 PECOS PAC ID: 0345692307 Enrollment ID: I20240116002356 |
| Provider Name | Alexandra Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245588458 PECOS PAC ID: 2365894243 Enrollment ID: I20240116003015 |
| Provider Name | Arron Justin Lafitte |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1700548278 PECOS PAC ID: 2466805569 Enrollment ID: I20240124004772 |
| Provider Name | Caitlin Van Wagenen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639703887 PECOS PAC ID: 0345689618 Enrollment ID: I20240418004282 |
| Provider Name | Deric V Ravsten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154431542 PECOS PAC ID: 4688636129 Enrollment ID: I20240531000260 |
Vituity Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-0611 | |
Douglas County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Kids & Company Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave Ste 427, Roseburg, OR 97471 Phone: 907-545-3079 | |
Serenity Lane Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Nw Kline St, Roseburg, OR 97471 Phone: 541-673-3504 Fax: 541-673-4724 | |
Mercy Behavioral Health Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2458 Fax: 541-677-1554 | |
Community Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471 Phone: 541-464-4079 Fax: 541-440-6306 | |
Yop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Se Jackson St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 |