Individual provider Active NPI

Tonia Marie Castilleja, MS, QMHP

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1396182713
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R8536 Issued in OR
Practice address
3886 Beverly Ave NE Ste 6
Salem, OR 97305-1373
Phone
(541) 342-5088
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 08-03-04 OR
Mental Health Counselor 101YM0800X R8536 OR
Professional Counselor 101YP2500X R8536 OR Primary

Addresses

Primary practice location

3886 Beverly Ave NE Ste 6
Salem, OR 97305-1373

Mailing address

3886 Beverly Ave NE Ste 6
Salem, OR 97305-1373
Phone (541) 342-5088

Other practice location 1

2586 12th Pl SE
Salem, OR 97302-2536
Phone (503) 375-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R8536ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1396182713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 BEVERLY AVE NE STE 6",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051373",
            "telephone_number": "541-342-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 BEVERLY AVE NE STE 6",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051373",
            "telephone_number": "541-342-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2586 12th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022536",
            "country_code": "US",
            "telephone_number": "503-375-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLEJA",
        "first_name": "TONIA",
        "middle_name": "MARIE",
        "credential": "MS, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "08-03-04",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8536",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R8536",
            "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 Jun 5, 2024; 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.