Active NPI
Megan Gardner
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1295190106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R10834
- Practice address
- 4080 Reed Rd SE Ste 150
Salem, OR 97302-1335 - Phone
- (503) 581-1732
- Fax
- (503) 363-4607
- NPI assigned
- Dec 18, 2015
- 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 | R10834 | OR | Primary |
Addresses
Primary practice location
4080 Reed Rd SE Ste 150
Salem, OR 97302-1335
Mailing address
4080 Reed Rd SE Ste 150
Salem, OR 97302-1335
Phone (503) 581-1732
Other practice location 1
398 High St
Eugene, OR 97401-2310
Phone (541) 344-1121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R10834 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shangri-la Corporation | Past | Accepting new patients | |
| The Shangri-la Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shangri-La Corporation
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1053858993
-
dba Shangri-La Corporation
- Community/Behavioral Health Agency
- Salem, OR
- NPI 1578000758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1295190106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 REED RD SE STE 150",
"city": "SALEM",
"state": "OR",
"postal_code": "973021335",
"telephone_number": "503-581-1732",
"fax_number": "503-363-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 REED RD SE STE 150",
"city": "SALEM",
"state": "OR",
"postal_code": "973021335",
"telephone_number": "503-581-1732",
"fax_number": "503-363-4607"
}
],
"practiceLocations": [
{
"address_1": "398 High St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012310",
"country_code": "US",
"telephone_number": "541-344-1121",
"fax_number": "541-344-4210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2025-02-25",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R10834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.