Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629765623 Individual Practitioner Female Practitioner

Alexis Graddy

Counselor • Otis, OR

Professional Overview & Biography Verified Profile Summary

Alexis Graddy is a registered healthcare professional specializing in Counselor in Otis, OR. Practice services are available at 3955 SALMON RIVER HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3955 Salmon River Hwy

Otis, OR 973689778

Telephone 5416144437
Fax 8889772106
Associated Practice Facility / Clinic
🏢 Power House Detox Facility NPI 1982197182

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Otis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Otis, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR T-22-1690

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Haley Messner

Counselor - Addiction (Substance Use Disorder)

NPI 1003412008
Molli Najera , CADC-R, CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1043163256

CADCR, CRM

Pearla Pena , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1124581541

CADCI

Bobbi Vaughn , CIT

Counselor - Addiction (Substance Use Disorder)

NPI 1124695317
Jennifer Caswell , CADC REGISTRANT

Counselor - Addiction (Substance Use Disorder)

NPI 1144877630

CADCREGISTRANT

Nicholas Iamon , RN

Registered Nurse - General Practice

NPI 1174085831

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2023

Registered at 3955 SALMON RIVER HWY, OTIS, OR 973689778 (Tel: 5416144437)

📍
Updated Business Mailing Address April 19, 2023

Registered at 3955 SALMON RIVER HWY, OTIS, OR 973689778 (Tel: 5416144437)

👤
Provider Name / Credentials Updated April 19, 2023

Recorded as ALEXIS GRADDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2023

Counselor (License #T-22-1690 in OR)

🟢
Initial NPI Registration & Enumeration April 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629765623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2023
Last Update: April 19, 2023
Sole Proprietor: No

Mailing Address

3955 Salmon River Hwy

Otis, OR 973689778

Phone: 5416144437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.