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POLK COUNTY ALCOHOL AND DRUG
NPI 1720013071
Counselor - Addiction (Substance Use Disorder) in Dallas, OR

Active since July 12, 2006
182 SW ACADEMY, SUITE #304, DALLAS, OR 97338(503) 623-9289(503) 831-1726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Polk County Alcohol And Drug NPPES

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

POLK COUNTY ALCOHOL AND DRUG (NPI 1720013071) is a healthcare organization registered as an addiction (substance use disorder) in Dallas, Oregon and active in the NPI registry since July 2006. The organization lists Greg P Hansen, Polk County Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1720013071
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePOLK COUNTY ALCOHOL AND DRUG
Location Address182 SW ACADEMY, SUITE #304Dallas, OR 97338-1922
Mailing Address182 Sw Academy St, Suite #310 Polk County Alcohol And DrugDallas, OR 97338-1922 · (503) 623-9317 · Fax (503) 623-2731
Phone(503) 623-9289
Fax(503) 831-1726
Organization SubpartNo
Authorized OfficialGreg P HansenPolk County Administrative Officer · (503) 623-8173
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720013071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · CERTIFICATE OF APPRO
182 SW ACADEMY, Dallas, OR 97338
Open in Google Maps ↗

Other Identifiers 1

Medicaid132001OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polk County Alcohol And Drug is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Polk County Alcohol And Drug, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Mental Health Counselor2
Psychiatry1

Clinicians, nearest first (10)

Zachary Beeler
Mental Health Counselor
NPI 1013525542
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Anthony Koch, PMHNP
Nurse Practitioner
NPI 1821676669
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Chad Sawyer, PMHNP
Nurse Practitioner
NPI 1497989669
182 SW ACADEMY ST SUITE 333
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Alfredo Soto, M.D.
Psychiatry
NPI 1841308632
182 SW ACADEMY ST SUITE 30
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Reva Vrana, NP
Nurse Practitioner
NPI 1932546447
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Jannell Werner, PMHNP
Nurse Practitioner
NPI 1194164830
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Karri Manning
Mental Health Counselor
NPI 1164828885
1675 WINTER ST NE
Salem, OR 97301
(503) 585-0351
✔ PECOS✔ Accepts Medicare14 mi
Lori Linton Nelson, PMHNP
Nurse Practitioner
NPI 1336297985
3180 CENTER ST NE
Salem, OR 97301
(503) 588-5351
✔ PECOS✔ Accepts Medicare16 mi
Dale Lachance, NURSE PRACTITIONER
Nurse Practitioner
NPI 1568937563
201 HOSPITAL DR
Dover, OH 44622
(330) 343-6631
✔ PECOS✔ Accepts Medicare2,128 mi
Cheryl Ann Hess, PMHNP, LCSW
Nurse Practitioner
NPI 1013094093
1200 RIDGEFIELD BLVD STE 250
Asheville, NC 28806
(828) 633-6070
✔ PECOS✔ Accepts Medicare2,223 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Polk County Alcohol And Drug's NPI number?

The NPI number for Polk County Alcohol And Drug is 1720013071. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Polk County Alcohol And Drug located?

Polk County Alcohol And Drug is located at 182 SW Academy Suite #304, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Polk County Alcohol And Drug's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Polk County Alcohol And Drug enrolled in Medicare?

Yes. Polk County Alcohol And Drug is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polk County Alcohol And Drug?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Polk County Alcohol And Drug. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (2) and Psychiatry (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Polk County Alcohol And Drug was last updated on August 22, 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.