Active NPI
Heather L Chase, LPC
- Professional Counselor
- Salem, OR
National Provider Identifier
1346803970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1595 Roosevelt St NE
Salem, OR 97301 - Phone
- (360) 774-6067
- NPI assigned
- Apr 18, 2019
- Last updated
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1595 Roosevelt St NE
Salem, OR 97301
Mailing address
1050 Sunnyview Rd NE
#8276
Salem, OR 97303
Phone (360) 774-6067
Other practice location 1
2110 Mission St SE Ste 305
Salem, OR 97302-0038
Phone (503) 379-1902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500762125 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Mental Performance LLC | 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.
-
dba NeuStart Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1780166116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1346803970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SUNNYVIEW RD NE",
"address_2": "#8276",
"city": "SALEM",
"state": "OR",
"postal_code": "97303",
"telephone_number": "360-774-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 ROOSEVELT ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "360-774-6067"
}
],
"practiceLocations": [
{
"address_1": "2110 Mission St SE Ste 305",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973020038",
"country_code": "US",
"telephone_number": "503-379-1902",
"fax_number": "503-379-1964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASE",
"first_name": "HEATHER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2023-07-24",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500762125",
"state": "OR"
}
],
"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 Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.