NPIMap

Organization Active NPI

Core Practice LLC

Doing business as The Core Practice

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1083320220
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CORE PRACTICE LLC
Doing business as
The Core Practice
Practice address
967 Park Ave NE
Salem, OR 97301-2839
Phone
(503) 583-2770
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Ryan Whitlow, RNNPI 1871371039
Title
Owner
Phone
(503) 583-2117

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

967 Park Ave NE
Salem, OR 97301-2839

Mailing address

967 Park Ave NE
Salem, OR 97301-2839
Phone (843) 610-2971

Other names 1

  • The Core Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1144 Wallace Rd NW
#A740
Salem, OR 97304

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1083320220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 PARK AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012839",
            "telephone_number": "843-610-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 PARK AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012839",
            "telephone_number": "503-583-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-583-2117",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Core Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 27, 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.

Verify at the official NPI Registry.