Organization Active NPI

Carousel Project, Community Care Counseling Center

  • Counselor
  • Salem, OR
National Provider Identifier
1295515310
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CAROUSEL PROJECT, COMMUNITY CARE COUNSELING CENTER
Practice address
6994 Sunnyside Rd S.
1043 Twinwood CT NW
Salem, OR 97306
Phone
(503) 991-3588
NPI assigned
Oct 5, 2023
Organization subpart
Yes
Parent organization
CAROUSEL PROJECT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mrs. Kaylene Scholl Henderson, MCOUNS.,ED.D, CANDID
Title
Director
Phone
(503) 991-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

6994 Sunnyside Rd S.
1043 Twinwood CT NW
Salem, OR 97306

Mailing address

6994 Sunnyside Rd S.
Salem, OR 97306
Phone (503) 991-3588

Other names 1

  • Carousel Project LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Carousel Project Community Care Counseling Center

Locations

6994 Sunnyside Rd SE
Salem, OR 97306

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1295515310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 SUNNYSIDE RD S.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97306",
            "telephone_number": "503-991-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 SUNNYSIDE RD S.",
            "address_2": "1043 TWINWOOD CT NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97306",
            "telephone_number": "503-991-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROUSEL PROJECT, COMMUNITY CARE COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROUSEL PROJECT LLC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KAYLENE",
        "authorized_official_middle_name": "SCHOLL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-991-3588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCOUNS.,ED.D, CANDID"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carousel Project LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 5, 2023; 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.