NPI 1508772278 · live from the CMS NPI Registry
Advanced Trauma Counseling
Counselor, Professional in Heppner, OR. National Provider Identifier 1508772278, active.
NPI record
| NPI | 1508772278 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 127 N Main St, Heppner, OR 97836 |
| Practice phone | 541-626-6611 |
| Mailing address | 850 Lakeview Ct, Heppner, OR 97836 |
| Enumerated | August 21, 2026 |
| Last updated | August 21, 2026 |
| Authorized official | Christopher Humphreys, Owner/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | — |
| Social Worker, Clinical | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.