Active NPI
Aubrey Dobrkovsky
- Mental Health Counselor
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4112
- Practice address
- 2001 Commercial St SE Ste 200
Salem, OR 97302-5207 - Phone
- (503) 949-7431
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C4112 | OR | Primary |
Addresses
Primary practice location
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Mailing address
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone (503) 949-7431
Other practice location 1
681 Center St NE
Salem, OR 97301-3722
Phone (503) 588-5828
Other names 1
- Aubrey Dickson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Commercial St SE
Salem, OR 97302-5207
Phone 5033708050208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4112 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Pastoral Counseling Center | Mental Health | Current | Accepting new patients |
Locations
2001 Commercial St SE
Salem, OR 97302
Phone (503) 363-1500
2001 Commercial St SE
Ste 200
Salem, OR 97302
Phone (503) 370-8050
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, 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": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205907714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 COMMERCIAL ST SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973025207",
"telephone_number": "503-949-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 COMMERCIAL ST SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973025207",
"telephone_number": "503-949-7431"
}
],
"practiceLocations": [
{
"address_1": "681 Center St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013722",
"country_code": "US",
"telephone_number": "503-588-5828",
"fax_number": "503-588-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBRKOVSKY",
"first_name": "AUBREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "DICKSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.