Active NPI
Alisha Wenger
- Counseling Psychologist
- Salem, OR
National Provider Identifier
1376051946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- Suite 420 Spinnaker Place 2601 25TH St SE
Salem, OR 97302 - Phone
- (503) 364-6093
- NPI assigned
- Jan 17, 2018
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
Suite 420 Spinnaker Place 2601 25TH St SE
Salem, OR 97302
Mailing address
Suite 420 Spinnaker Place 2601 25TH St SE
Salem, OR 97302
Phone (503) 364-6093
Other practice location 1
414 N Meridian St
Newberg, OR 97132-2697
Phone (503) 554-2390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 21, 2022 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Valley Counseling Center Inc | Current | Accepting new patients | |
| George Fox University | Past | Accepting new patients |
Locations
2601 25th St SE
Ste 420
Salem, OR 97302
Phone (503) 364-6093
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Salem, OR
- NPI 1407039308
-
- Athletic Trainer
- Newberg, OR
- NPI 1770613036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1376051946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUITE 420 SPINNAKER PLACE 2601 25TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-364-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUITE 420 SPINNAKER PLACE 2601 25TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-364-6093"
}
],
"practiceLocations": [
{
"address_1": "414 N Meridian St",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971322697",
"country_code": "US",
"telephone_number": "503-554-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENGER",
"first_name": "ALISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2022-09-08",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"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 Sep 8, 2022; 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.