Active NPI
Petr P Danchev
- Professional Counselor
- Salem, OR
National Provider Identifier
1336849298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C10902
- Practice address
- 200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074 - Phone
- (541) 900-4285
- NPI assigned
- Mar 8, 2023
- Last updated
- Nov 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C10902 | OR | Primary |
Addresses
Primary practice location
200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074
Mailing address
3400 State St Ste G750
Salem, OR 97301-7012
Phone (541) 900-4285
Other practice location 1
6924 Pierce Dr N
Keizer, OR 97303-4334
Phone (503) 480-5085
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2460 NW Troost St
Suite 1
Roseburg, OR 97471-7704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10902 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Therapy LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1336849298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 STATE ST STE G750",
"city": "SALEM",
"state": "OR",
"postal_code": "973017012",
"telephone_number": "541-900-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE AVE SE STE A130",
"city": "SALEM",
"state": "OR",
"postal_code": "973010074",
"telephone_number": "541-900-4285"
}
],
"practiceLocations": [
{
"address_1": "6924 Pierce Dr N",
"address_purpose": "LOCATION",
"city": "Keizer",
"state": "OR",
"postal_code": "973034334",
"country_code": "US",
"telephone_number": "503-480-5085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANCHEV",
"first_name": "PETR",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-08",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C10902",
"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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.