Active NPI
Anna Cate Statton, MA, QMHP
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1033305040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3180 Center St NE
Salem, OR 97301 - Phone
- (503) 588-5351
- Fax
- (503) 364-6552
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
3180 Center St NE
Salem, OR 97301
Mailing address
3180 Center St NE
Manon County Adult Behavioral Health
Salem, OR 97301
Phone (503) 588-5351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123190 | Medicaid | OR |
Other names 1
- Anna Cate Kyger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1033305040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 CENTER ST NE",
"address_2": "MANON COUNTY ADULT BEHAVIORAL HEALTH",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-588-5351",
"fax_number": "503-364-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-588-5351",
"fax_number": "503-364-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATTON",
"first_name": "ANNA",
"middle_name": "CATE",
"credential": "MA, QMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123190",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "KYGER",
"middle_name": "CATE",
"credential": "MA, QMHP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.