Angela Eller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3867 Wolverine St NE BLDG F
Salem, OR 97305-4266

Phone

(503) 361-2741

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Reeve Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1144970195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 WOLVERINE ST NE BLDG F",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 WOLVERINE ST NE BLDG F",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054266",
            "telephone_number": "503-361-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "REEVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margo Eliescu, LCSW
• Irma Elizondo, CHW, PPS
• Daniel M Elkin, M.D.
• David A Elkins, M.D., PH.D.
• Viktorija Elkins, LMT#19596
• Jared Calvin Eller, D.O.
• Robert Richard Ellestad, LMT
• Jacqueline A Elliott Vermeer, QMHA, MENTAL HEALTH
• Jude Regan Elliott, CPO
• Sean C Elliott, ANP

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.