ADAM PETERSON CADC III, CSWA
NPI 1295358018
Counselor - Addiction (Substance Use Disorder) in Medford, OR
About Adam Peterson Cadc Iii, Cswa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM PETERSON CADC III, CSWA (NPI 1295358018) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (19-10-15) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adam Peterson Cadc Iii, Cswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adam Peterson's NPI number?
The NPI number for Adam Peterson is 1295358018. It was assigned to this individual provider in the NPPES registry on May 27, 2020.
Where is Adam Peterson located?
Adam Peterson practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.
What is Adam Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Adam Peterson enrolled in Medicare?
Yes. Adam Peterson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Adam Peterson was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Adam Peterson, CADC III, CSWA · NPI 1295358018
Addiction (Substance Use Disorder) provider in Medford, Oregon. Individual provider, active in the CMS NPPES registry since May 27, 2020.
## Identity
- **NPI:** 1295358018 (Entity type: Individual)
- **Enumerated:** May 27, 2020
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 19-10-15 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BEATTY ST, Medford, OR 97501-5811
- **Phone:** (541) 476-2373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** May 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295358018) · Data from the CMS NPPES public registry.