Newberg Counseling & Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C Issued in OR

Legal business name

NEWBERG COUNSELING & WELLNESS, LLC

Practice address

710 E Foothills Dr Ste 104C
Newberg, OR 97132-6125

Phone

(503) 994-8424

Fax

(503) 877-9967

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Melendez Doak, MA, LPCNPI 1174534556

Title

Owner

Phone

(503) 994-8424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan M Doak, LPC

  • Counselor
  • Newberg, OR
  • NPI 1174534556

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1164923041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E FOOTHILLS DR STE 104C",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326125",
            "telephone_number": "503-994-8424",
            "fax_number": "503-877-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E FOOTHILLS DR STE 104C",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326125",
            "telephone_number": "503-994-8424",
            "fax_number": "503-877-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "DOAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MELENDEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-994-8424",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675143",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Taylor Nelson, LMT
• Zachary E Nelson
• New Horizons Mental Health LLC
• Newberg Alf, LLC (Willow Place)
• Newberg Community Dental
• Newberg Family Chiropractic PC
• Newberg Family Eye Care LLC (Newberg Family Eye Care)
• Newberg Family Practice, LTD (An C. Vu, M.D.)
• Newberg Kids Dentist LLC
• Newberg Memory Associates, LLC (Arbor Oaks Terrace Memory Care)

• Professional Counselor in Newberg, OR
• Providers in Newberg, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.