Individual provider Active NPI

Janese C. Olalde, M.ED, QMHP

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1245462183
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3737 Portland Rd NE
Salem, OR 97301-0311
Phone
(503) 390-2600
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

3737 Portland Rd NE
Salem, OR 97301-0311

Mailing address

3737 Portland Rd NE
Salem, OR 97301-0311
Phone (503) 390-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 Club Rd
Suite 160
Eugene, OR 97401-2439

PO Box
Suite 70779
Springfield, OR 97475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1245462183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010311",
            "telephone_number": "503-390-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010311",
            "telephone_number": "503-390-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALDE",
        "first_name": "JANESE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "M.ED, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.