NPIMap

Organization Active NPI

Catholic Community Services of the Mid-Willamette Valley and Central

Doing business as Catholic Community Services

  • Counselor
  • Salem, OR
National Provider Identifier
1144345570
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL
Doing business as
Catholic Community Services
Practice address
3737 Portland Rd
Salem, OR 97301
Phone
(503) 390-2600
Fax
(503) 390-8629
NPI assigned
Mar 21, 2007
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Ms. Margaret A Manfroi
Title
Billing Specialist
Phone
(503) 856-7006

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Counselor 101Y00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3737 Portland Rd
Salem, OR 97301

Mailing address

3737 Portland Rd
Salem, OR 97301
Phone (503) 390-2600

Other identifiers 9

IdentifierTypeStateIssuer
931280935OtherORISN TAX ID
182536OtherORNS PROVIDER NUMBER
030585OtherORCCC OMAP PROVIDER NUMBER
182536OtherNEW STEP
261545OtherORRAINBOW PROVIDER NUMBER
226320OtherORISN PROVIDER NUMBER
226320OtherORCYFS PROVIDER NUMBER
230442OtherORCCC PROVIDER NUMBER
230442OtherCOUNSEL

Other names 1

  • Catholic Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services of the Mid Willamette Valley Central Coast5 organizations share this tax ID, including this one
Part of
Catholic Community Services of the Mid Willamette Valley Central Coast

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1144345570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-390-2600",
            "fax_number": "503-390-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-390-2600",
            "fax_number": "503-390-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "MANFROI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "503-856-7006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISN TAX ID",
            "identifier": "931280935",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NS PROVIDER NUMBER",
            "identifier": "182536",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCC OMAP PROVIDER NUMBER",
            "identifier": "030585",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW STEP",
            "identifier": "182536",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAINBOW PROVIDER NUMBER",
            "identifier": "261545",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISN PROVIDER NUMBER",
            "identifier": "226320",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CYFS PROVIDER NUMBER",
            "identifier": "226320",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCC PROVIDER NUMBER",
            "identifier": "230442",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSEL",
            "identifier": "230442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Community Services",
            "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 Feb 25, 2015; 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.