Active NPI
Sara McNinch
- Peer Specialist
- Salem, OR
National Provider Identifier
1063236065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 106792
- Practice address
- 2645 Portland Rd NE Ste 120
Salem, OR 97301-0200 - Phone
- (971) 900-9057
- NPI assigned
- Nov 14, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 106792 | OR | Primary |
Addresses
Primary practice location
2645 Portland Rd NE Ste 120
Salem, OR 97301-0200
Mailing address
3328 Argyle Dr S
Salem, OR 97302-4628
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106792 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Counseling Services of Oregon | Current | Accepting new patients |
Locations
2645 Portland Rd NE
Ste 120
Salem, OR 97301
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1063236065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 ARGYLE DR S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 PORTLAND RD NE STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973010200",
"telephone_number": "971-900-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNINCH",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "106792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 14, 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.