Individual provider Active NPI

Lindsay Nichole Crowner

  • Counselor
  • Salem, OR
National Provider Identifier
1295181246
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2645 Portland Rd NE
Ste 120
Salem, OR 97301-0198
Phone
(503) 390-5637
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2645 Portland Rd NE
Ste 120
Salem, OR 97301-0198

Mailing address

2645 Portland Rd NE
Ste 120
Salem, OR 97301-0198
Phone (503) 390-5637

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
I20190620002633 OR Practitioner - Clinical Social Worker 2567796824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tabula Rasa Wellness LLCGroup PAC ID 0941676662, 3 clinicians

Practice addresses (Care Compare)

960 Broadway St NE
Suite 3
Salem, OR 97301-1275
Phone (503) 967-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon CurrentSince Mar 24, 2019 Accepting new patients
Tabula Rasa Wellness LLC Counselor CurrentSince Jun 18, 2022 Accepting new patients

Locations

61396 S Highway 97
Ste 224
Bend, OR 97702
Phone (503) 967-3428

360 E 10th Ave
Ste 450
Eugene, OR 97401

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

960 Broadway St NE
Ste 3
Salem, OR 97301
Phone (503) 489-4747

2645 Portland Rd NE
Ste 120
Salem, OR 97301

2695 12th Pl SE
Salem, OR 97302
Phone (503) 371-0863

189 Liberty St NE
Ste 202D
Salem, OR 97301
Phone (503) 610-2542

Organizations & group practices 2

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1295181246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 PORTLAND RD NE",
            "address_2": "STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010198",
            "telephone_number": "503-390-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 PORTLAND RD NE",
            "address_2": "STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010198",
            "telephone_number": "503-390-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWNER",
        "first_name": "LINDSAY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.