Active NPI
Ladonna Macomber, LPC CCMHC
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1144487356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0164
- Practice address
- 3884 Commercial St SE Ste 203
Salem, OR 97302-3835 - Phone
- (503) 362-7024
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C0164 | OR | Primary |
Addresses
Primary practice location
3884 Commercial St SE Ste 203
Salem, OR 97302-3835
Mailing address
3884 Commercial St SE Ste 203
Salem, OR 97302-3835
Phone (503) 362-7024
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1144487356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3884 COMMERCIAL ST SE STE 203",
"city": "SALEM",
"state": "OR",
"postal_code": "973023835",
"telephone_number": "503-362-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3884 COMMERCIAL ST SE STE 203",
"city": "SALEM",
"state": "OR",
"postal_code": "973023835",
"telephone_number": "503-362-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACOMBER",
"first_name": "LADONNA",
"credential": "LPC CCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C0164",
"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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.