MR. JOHN WALTER LEE IV
NPI 1629780770
Counselor - Mental Health in Coburg, OR

Active since December 20, 2022
1 SERENITY LN, COBURG, OR 97408(541) 204-2276 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 1, 2024, Dec 20, 2022 (2 updates tracked since 2022).

About Mr. John Walter Lee Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN WALTER LEE IV (NPI 1629780770) is an individual mental health provider in Coburg, Oregon, licensed in Oregon (R8780) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1629780770
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHN WALTER LEE IV
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing AddressPo Box 8549Coburg, OR 97408-1313 · (541) 204-2276
Sole ProprietorNo
Enumeration DateDecember 20, 2022
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1629780770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R8780
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-22-2191 (OR)
1 SERENITY LN, Coburg, OR 97408

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.

Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408

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 John Lee's NPI number?

The NPI number for John Lee is 1629780770. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is John Lee located?

John Lee practices at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 204-2276.

What is John Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Lee was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.