Individual provider Active NPI

Willow Snow-Ferrill, LPC INTERN

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1194398123
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R6818 Issued in OR
Practice address
200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074
Phone
(541) 900-4285
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 R6818 OR Primary

Addresses

Primary practice location

200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074

Mailing address

4273 Heavens Way S
Salem, OR 97302-2793
Phone (503) 799-5452

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
I20260515000377 OR Practitioner - Mental Health Counselor 3870062227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2460 NW Troost St
Suite 1
Roseburg, OR 97471-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R6818ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Therapy LLC Mental Health Current Accepting new patients

Locations

272 NW Medical Loop
Ste E
Roseburg, OR 97471
Phone (541) 677-6141

Organizations & group practices 1

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1194398123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 HEAVENS WAY S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022793",
            "telephone_number": "503-799-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE AVE SE STE A130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010074",
            "telephone_number": "541-900-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW-FERRILL",
        "first_name": "WILLOW",
        "credential": "LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.