Active NPI
Meristem Counseling Center LLC
- Professional Counselor
- Corvallis, OR
National Provider Identifier
1053164236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MERISTEM COUNSELING CENTER LLC
- Practice address
- 257 SW Madison Ave Ste 206
Corvallis, OR 97333-4757 - Phone
- (206) 397-6066
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Moling, MA, LPC
- Title
- Owner
- Phone
- (206) 397-6066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
257 SW Madison Ave Ste 206
Corvallis, OR 97333-4757
Mailing address
257 SW Madison Ave Ste 206
Corvallis, OR 97333-4757
National Provider Directory
National Provider DirectoryLocations
257 SW Madison Ave
Ste 206
Corvallis, OR 97333
Phone (206) 397-6066
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Corvallis, OR
- NPI 1750852687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1053164236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 SW MADISON AVE STE 206",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 SW MADISON AVE STE 206",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334757",
"telephone_number": "206-397-6066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERISTEM COUNSELING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "MOLING",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-397-6066",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.