Individual provider Active NPI

Elizabeth Anne Merkl, MSW, CSWA

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1144871401
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14430 Issued in OR
Practice address
260 SW Madison Ave Ste 105
Corvallis, OR 97333-4725
Phone
(541) 818-0009
Fax
(541) 780-6967
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14430 OR Primary

Addresses

Primary practice location

260 SW Madison Ave Ste 105
Corvallis, OR 97333-4725

Mailing address

260 SW Madison Ave Ste 105
Corvallis, OR 97333-4725
Phone (541) 818-0009

Other practice location 1

161 High St SE Ste 232
Salem, OR 97301-3620
Phone (541) 818-0009

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

LicenseStateTypeSpecialty
A14430ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC PastSince Jan 26, 2022 Accepting new patients
Oregon Directions, LLC Mental Health PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1144871401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 105",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334725",
            "telephone_number": "541-818-0009",
            "fax_number": "541-780-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 105",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334725",
            "telephone_number": "541-818-0009",
            "fax_number": "541-780-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 High St SE Ste 232",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013620",
            "country_code": "US",
            "telephone_number": "541-818-0009",
            "fax_number": "541-780-6967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERKL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A14430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.