| 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 | Elizabeth a Neeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679509145 PECOS PAC ID: 9234155425 Enrollment ID: I20051017001151 |
| 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 | 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 | Jonathan F Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396934196 PECOS PAC ID: 6406992122 Enrollment ID: I20130731000661 |
| Provider Name | Bryan D Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279102 PECOS PAC ID: 7911133145 Enrollment ID: I20131118001970 |
| Provider Name | Cynthia L Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932150471 PECOS PAC ID: 9133127582 Enrollment ID: I20131120000464 |
| 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 | Carl W Leder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619341724 PECOS PAC ID: 4587967955 Enrollment ID: I20160119000476 |
| Provider Name | Marcy Ellen Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265983431 PECOS PAC ID: 5395025456 Enrollment ID: I20161206002406 |
| 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 | 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 | Adam Trotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984751 PECOS PAC ID: 5799938114 Enrollment ID: I20180111002464 |
| 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 | Jacob D Mcavoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154975001 PECOS PAC ID: 4284069592 Enrollment ID: I20200129001881 |
| 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 Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215506316 PECOS PAC ID: 0941607105 Enrollment ID: I20210930001965 |
| Provider Name | Susan Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750706800 PECOS PAC ID: 5294954525 Enrollment ID: I20220106000139 |
| Provider Name | Jennie L Gohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417614611 PECOS PAC ID: 7012303837 Enrollment ID: I20220404002708 |
| 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 | Julie a Hargraves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558520924 PECOS PAC ID: 6305970641 Enrollment ID: I20220728002777 |
| Provider Name | Christina M Brakebill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992133607 PECOS PAC ID: 7416184536 Enrollment ID: I20230601000735 |
| 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 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 | 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 | Holly Block |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1982260113 PECOS PAC ID: 4284084229 Enrollment ID: I20240103001128 |
| 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 | Kimberly Jean Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629110853 PECOS PAC ID: 1850742388 Enrollment ID: I20240109004733 |
| Provider Name | April Lynn Nunez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972987451 PECOS PAC ID: 3971954116 Enrollment ID: I20240111003365 |
| 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 | Judy Diane Gabehart-geant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467473934 PECOS PAC ID: 4688010317 Enrollment ID: I20240315002145 |
| 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 |
| Provider Name | Diane Michele Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609622349 PECOS PAC ID: 8224572300 Enrollment ID: I20240701000306 |
| Provider Name | Fatima Jalloh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922612035 PECOS PAC ID: 2062956766 Enrollment ID: I20240705001986 |
| Provider Name | Kendra Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871064311 PECOS PAC ID: 4082151121 Enrollment ID: I20240806004334 |
| Provider Name | Eleanor Julia Hurtado Mcavoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144982125 PECOS PAC ID: 1951849405 Enrollment ID: I20240814004023 |
| Provider Name | Laecey May Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649016668 PECOS PAC ID: 1355881244 Enrollment ID: I20240905004335 |
| Provider Name | Eric Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306403027 PECOS PAC ID: 0840642757 Enrollment ID: I20240912002565 |
| Provider Name | Abigail M Levere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871116756 PECOS PAC ID: 8022559814 Enrollment ID: I20240919003398 |
| Provider Name | Beatrice Mupenzi May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197804 PECOS PAC ID: 9133660574 Enrollment ID: I20240925001672 |
| Provider Name | Jordan S Ayres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477232114 PECOS PAC ID: 5395276398 Enrollment ID: I20241001003584 |
| Provider Name | Lindsay Rose Iannone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053093963 PECOS PAC ID: 3779014576 Enrollment ID: I20241003003286 |
| Provider Name | Karen Darnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538727839 PECOS PAC ID: 7416281035 Enrollment ID: I20241004002711 |
| Provider Name | Haley Rae Danskey Huse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942034756 PECOS PAC ID: 2365975398 Enrollment ID: I20241030001144 |
| Provider Name | Barbara C Farrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710245469 PECOS PAC ID: 6608224894 Enrollment ID: I20241122000628 |
| Provider Name | Amanda Marie Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144867698 PECOS PAC ID: 8022446988 Enrollment ID: I20241218002968 |
| Provider Name | Amanda L Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801611405 PECOS PAC ID: 1850829557 Enrollment ID: I20250108003916 |
| Provider Name | Laura C Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255844676 PECOS PAC ID: 8921538901 Enrollment ID: I20250205003274 |
| Provider Name | Mckenna Collier Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679156608 PECOS PAC ID: 9537507173 Enrollment ID: I20250226000979 |
| Provider Name | Emily Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013210681 PECOS PAC ID: 0143728220 Enrollment ID: I20250808000219 |
| Provider Name | Mandilynn Kay Mcclain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215486584 PECOS PAC ID: 5092217539 Enrollment ID: I20250904004380 |
| Provider Name | Malori Page Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164019147 PECOS PAC ID: 5193213288 Enrollment ID: I20251021003234 |
| Provider Name | Alainnah M Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306585161 PECOS PAC ID: 0244728277 Enrollment ID: I20251022001591 |
| Provider Name | Lindsay Nicole Merritt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346913050 PECOS PAC ID: 2961990908 Enrollment ID: I20251022002031 |
| Provider Name | Kira Kristina Lathrop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609223809 PECOS PAC ID: 4880042704 Enrollment ID: I20251023002658 |
| Provider Name | Janette Fay Mydland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902131352 PECOS PAC ID: 1456703172 Enrollment ID: I20260312002412 |
| Provider Name | Sara a Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861694994 PECOS PAC ID: 2668803016 Enrollment ID: I20260420003126 |
| Provider Name | Amy Sale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952760027 PECOS PAC ID: 2365910676 Enrollment ID: I20260505004040 |
| Provider Name | Julia Goldburt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720424138 PECOS PAC ID: 1557890027 Enrollment ID: I20260528002537 |
| Provider Name | August Stuppy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245935444 PECOS PAC ID: 3173982782 Enrollment ID: I20260608002287 |
A.K. Gombart M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 W Umpqua St, Roseburg, OR 97470 Phone: 541-673-0133 |
Roseburg Clinic PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-8988 Fax: 541-672-8103 |
Laurence M Sharp DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471 Phone: 541-459-1611 Fax: 541-459-5741 |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 |
Cow Creek Health & Wellness Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 |
Gordon F. Rose, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 W Umpqua St Ste 104, Roseburg, OR 97470 Phone: 541-673-3334 Fax: 541-673-0814 |