Paige Kimberly Warner, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1444 Issued in OR

Practice address

744 NW 4TH St
Corvallis, OR 97330-6415

Phone

(541) 752-2700

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alison Roffman LCSW LLC

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1568126100
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013011030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-752-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-752-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "PAIGE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Komorowski Wanlin, LMFT
• Kelly Ward, RN
• Lynn Gunby Ward, R.N.
• Ricky Allen Warf, DMD
• Jeremy Ross Warner, D.O.
• Tracy Faith Warnock, LMFT
• Carla Ann Warren, APRN
• Marisa Warren, CSWA
• Melissa Ann Warren
• Olivia Washington

• Counseling Psychologist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Counseling Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.