Organization Active NPI

Kori Chancellor Counseling

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1124841580
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KORI CHANCELLOR COUNSELING
Practice address
355 Miller St SE
Salem, OR 97302-4247
Phone
(503) 551-0055
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Kori Ann Chancellor, LPCNPI 1114453982
Title
Owner
Phone
(503) 551-0055

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

355 Miller St SE
Salem, OR 97302-4247

Mailing address

355 Miller St SE
Salem, OR 97302-4247
Phone (503) 551-0055

Other practice location 1

8855 SW Holly Ln Ste 122
Wilsonville, OR 97070-8793
Phone (971) 301-2819

National Provider Directory

National Provider Directory
Tax ID family
Kori Chancellor Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1124841580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024247",
            "telephone_number": "503-551-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024247",
            "telephone_number": "503-551-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8855 SW Holly Ln Ste 122",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970708793",
            "country_code": "US",
            "telephone_number": "971-301-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KORI CHANCELLOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-551-0055",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 4, 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.