1. Home
  2. Directory
  3. Oregon
  4. Grants Pass
  5. Counselor
  6. NPI Profile

CLINTON DAVID WILLOUGHBY CADC II
NPI 1871020693
Counselor - Addiction (Substance Use Disorder) in Grants Pass, OR

Active since May 11, 2017
109 NW MANZANITA AVE, GRANTS PASS, OR 97526(541) 476-2373 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2022, Oct 23, 2020, May 11, 2017 (3 updates tracked since 2017).

About Clinton David Willoughby Cadc Ii NPPES

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

CLINTON DAVID WILLOUGHBY CADC II (NPI 1871020693) is an individual addiction (substance use disorder) provider in Grants Pass, Oregon, licensed in Oregon (101YA0400X) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1871020693
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLINTON DAVID WILLOUGHBYCredential: CADC II
Location Address109 NW MANZANITA AVEGrants Pass, OR 97526
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateAugust 9, 20223 updates tracked since enumeration
NPPES CertifiedJuly 30, 2022
✔ NPI 1871020693 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 · 101YA0400X
109 NW MANZANITA AVE, Grants Pass, OR 97526
Open in Google Maps ↗

Other Identifiers 1

Medicaid931200332OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DARRAN SHEA QMHA
Peer Specialist
109 NW MANZANITA AVE
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MR. JEFFREY A CHRISTOPHERSEN CADC1, QMHA1
Counselor (Addiction (Substance Use Disorder))
109 NW MANZANITA AVE
GRANTS PASS, OR 97526
Josephine County (541) 479-8847

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 Clinton Willoughby's NPI number?

The NPI number for Clinton Willoughby is 1871020693. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Clinton Willoughby located?

Clinton Willoughby practices at 109 NW Manzanita Ave, Grants Pass, OR 97526. The listed phone number is (541) 476-2373.

What is Clinton Willoughby's specialty?

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

When was this NPI record last updated?

The NPPES record for Clinton Willoughby was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.