Individual provider Active NPI

Deborah R Ficek, QMHA II - CADC II

  • Case Management Agency
  • McMinnville, OR
National Provider Identifier
1295371888
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
25-QMHAII-000482 Issued in OR
Practice address
1525 SW Shirley Ann Dr
McMinnville, OR 97128-7665
Phone
(503) 474-6866
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19-QMHA-R-0005 OR
Case Management Agency 251B00000X 25-QMHAII-000482 OR Primary

Addresses

Primary practice location

1525 SW Shirley Ann Dr
McMinnville, OR 97128-7665

Mailing address

5373 Regan CT SE
Salem, OR 97306-1580
Phone (503) 930-4172

Other identifiers 1

IdentifierTypeStateIssuer
500773821MedicaidOR

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

LicenseStateTypeSpecialty
19-QMHA-R-0005ORMDMental Health Counselor
20-QMHA-I-02942ORMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1295371888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 REGAN CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061580",
            "telephone_number": "503-930-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SW SHIRLEY ANN DR",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971287665",
            "telephone_number": "503-474-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICEK",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "QMHA II - CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "19-QMHA-R-0005",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "25-QMHAII-000482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500773821",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.