Individual provider Active NPI

Karen Seegobin

  • Marriage & Family Therapist
  • Newberg, OR
National Provider Identifier
1386098796
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1608 Issued in OR
Practice address
444 N Villa Rd
Newberg, OR 97132-1856
Phone
(971) 832-9488
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1608 OR Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

444 N Villa Rd
Newberg, OR 97132-1856

Mailing address

444 N Villa Rd
Newberg, OR 97132-1856
Phone (971) 832-9888

Other practice location 1

2250 D St NE
Salem, OR 97301-2768
Phone (503) 364-6093

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611003645 OR Practitioner - Mental Health Counselor 2769827898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Valley Counseling Center IncGroup PAC ID 2769479948, 13 clinicians

Practice addresses (Care Compare)

2250 D St NE
Salem, OR 97301-2768
Phone (503) 364-6093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1608ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Counseling Center Inc CurrentSince Apr 13, 2024 Accepting new patients

Locations

2250 D St NE
Salem, OR 97301
Phone (503) 364-6093

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1386098796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321856",
            "telephone_number": "971-832-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321856",
            "telephone_number": "971-832-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 D St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012768",
            "country_code": "US",
            "telephone_number": "503-364-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEGOBIN",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1608",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.