Northwest Institute for Integrative Counseling and Training

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

T0808 Issued in OR

Legal business name

NORTHWEST INSTITUTE FOR INTEGRATIVE COUNSELING AND TRAINING

Practice address

355 High St SE
Salem, OR 97301-3613

Phone

(503) 881-0513

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By 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

Dr. David Isamu Manock, PH.D., MS MFT, LMFTNPI 1144617275

Title

Founder-President

Phone

(503) 881-0513

Specialties & licenses 1

Addresses

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.

• David Isamu Manock, PH.D. LMFT

  • Professional Counselor
  • Salem, OR
  • NPI 1144617275
  Authorized official Same address or phone

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1174910095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "503-881-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "503-881-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INSTITUTE FOR INTEGRATIVE COUNSELING AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MANOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ISAMU",
        "authorized_official_title_or_position": "FOUNDER-PRESIDENT",
        "authorized_official_telephone_number": "503-881-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., MS MFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "T0808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Human Services, Inc. (West Salem Clinic Mental Health)
• Northwest Human Services, Inc. (Mobile Medical Unit 1)
• Northwest Human Services, Inc. (Quick Care Clinic)
• Northwest Human Services, Inc. (Homeless Outreach and Advocacy Project (HOAP))
• Northwest Human Services, Inc. (West Salem Clinic)
• Northwest Institute for Psychotherapy and Sexuality
• Northwest Integrated Providers, Inc
• Northwest Lifestyle Medicine, Inc.
• Northwest Renal Clinic, Inc.
• Angela Norton

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.