Kyle Andrew Tomasello, CADCR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-22-2128 Issued in OR

Practice address

525 Ferry St SE
Salem, OR 97301-3773

Phone

(503) 363-6103

Fax

(503) 363-0833

NPI assigned

Nov 16, 2022

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1225747538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 FERRY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013773",
            "telephone_number": "503-363-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 FERRY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013773",
            "telephone_number": "503-363-6103",
            "fax_number": "503-363-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASELLO",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "CADCR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-22-2128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samone Toler
• Janette Toll
• Adam Tolley, ATC
• Tomas P McFie DC PC
• Micaela Tomas
• Paige Frances Tomes, M.D.
• Cydni Lee Tompkins
• Trent Tompkins, PT, DPT, PCS
• Stephanie Jeanne Toney
• Charlotte Tong, MSW, ACSW, QMHP

• Addiction (Substance Use Disorder) Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.