Organization Active NPI

Prana Counseling LLC

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1205365491
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7278 Issued in OR
Legal business name
PRANA COUNSELING LLC
Doing business as
Aspire Counseling and Behavioral Health
Practice address
160 Westwood LN
Roseburg, OR 97471-9556
Phone
(541) 670-9579
Fax
(541) 508-4224
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Authorized official

Name
Tania S Welikala, LCSW
Title
Sole Member
Phone
(541) 670-9579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L7278 OR Primary

Addresses

Primary practice location

160 Westwood LN
Roseburg, OR 97471-9556

Mailing address

160 Westwood LN
Roseburg, OR 97471-9556

Other names 1

  • Aspire Counseling and Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

753 SE Main St
Ste 203
Roseburg, OR 97470
Phone (541) 670-9579

753 SE Main St
Ste 202
Roseburg, OR 97470
Phone (541) 670-9579

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1205365491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WESTWOOD LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WESTWOOD LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719556",
            "telephone_number": "541-670-9579",
            "fax_number": "541-508-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "WELIKALA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-670-9579",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Counseling and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.