Hillary Kay Provance-Wheeler, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5158 Issued in OR

Practice address

4744 Liberty Rd S Ste 20
Salem, OR 97302-5181

Phone

(503) 877-3826

NPI assigned

Feb 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Green Light Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
  • NPI 1588387732
  NPD Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1033532643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 FORSYTHE DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022195",
            "telephone_number": "503-877-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 LIBERTY RD S STE 20",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025181",
            "telephone_number": "503-877-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVANCE-WHEELER",
        "first_name": "HILLARY",
        "middle_name": "KAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Therapuetic Community Network
• Andrea Proffitt
• Project Able, Inc.
• Courtney Prokosch, PSYD
• David Prosser, M.D.
• Providence Health & Services - Oregon (Prov Peds Neurology Salem)
• Providence Health & Services Oregon (Providence Medcial Group)
• Providence Health & Services Oregon (Providence Home Medical Equipment)
• Linda L. Prudhomme, LCSW
• Whitney Pruett, LPN

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.