Chronicles of Success Recovery Services LLC
NPI 1629801543 · Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, OR
Chronicles of Success Recovery Services LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Medford, OR (NPI 1629801543).
Provider details
- NPI number
- 1629801543
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donique Boazeman, Owner/Administrator(313) 977-2767
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Meals Provider174200000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-26
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Frequently asked questions
- What is Chronicles of Success Recovery Services LLC's NPI number?
- Chronicles of Success Recovery Services LLC's National Provider Identifier (NPI) is 1629801543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chronicles of Success Recovery Services LLC?
- Chronicles of Success Recovery Services LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Chronicles of Success Recovery Services LLC located?
- Chronicles of Success Recovery Services LLC's practice location on file with NPPES is 3140 Juanipero Way Ste 101, Medford, OR 97504-8647.
- What is Chronicles of Success Recovery Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Chronicles of Success Recovery Services LLC is (541) 508-0336.
- Who is the authorized official for Chronicles of Success Recovery Services LLC?
- The authorized official listed on Chronicles of Success Recovery Services LLC's NPPES record is Donique Boazeman, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chronicles of Success Recovery Services LLC's NPI active?
- Yes — Chronicles of Success Recovery Services LLC's NPI (1629801543) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.