Individual provider Active NPI

Karri Manning

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1164828885
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4591 Issued in OR
Practice address
1675 Winter St NE
Salem, OR 97301-7152
Phone
(503) 585-0351
Fax
(503) 585-0212
NPI assigned
Nov 6, 2014
Last updated
Mar 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X C4591 OR Primary

Addresses

Primary practice location

1675 Winter St NE
Salem, OR 97301-7152

Mailing address

1520 Plaza St NW
Salem, OR 97304-4658
Phone (503) 585-3012

Other practice location 1

1520 Plaza St NW
Salem, OR 97304-4658
Phone (503) 585-3012 ext. 119

Other identifiers 1

IdentifierTypeStateIssuer
93-6002310MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527001032 OR Practitioner - Mental Health Counselor 9133648801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of PolkGroup PAC ID 7315930492, 9 clinicians

Practice addresses (Care Compare)

1520 Plaza St NW
Suite 150
Salem, OR 97304-4658
Phone (503) 585-3012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Center for Counseling & Therapy Mental Health CurrentSince Mar 19, 2023 Accepting new patients
County of Polk Mental Health Current Accepting new patients
County of Polk CurrentSince Aug 1, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Mar 19, 2023 Accepting new patients

Locations

182 SW Academy St
Ste 333
Dallas, OR 97338
Phone (503) 623-9289

1520 Plaza St NW
Ste 150
Salem, OR 97304
Phone (503) 585-3012

1675 Winter St NE
Salem, OR 97301
Phone (503) 316-6770

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1164828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PLAZA ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044658",
            "telephone_number": "503-585-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WINTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017152",
            "telephone_number": "503-585-0351",
            "fax_number": "503-585-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Plaza St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044658",
            "country_code": "US",
            "telephone_number": "503-585-3012 x119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KARRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93-6002310",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.