Patricia Joanne Myers, MS, QMHP, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2905 River Rd S
Salem, OR 97302-9754

Phone

(503) 391-7175

Fax

(503) 585-3303

NPI assigned

May 3, 2019

Last updated

May 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Joanne McKirchy Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Professional Therapeutic Community Network, Inc

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1629223243
  NPD (past)
• Professional Therapuetic Community Network

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salem, OR
  • NPI 1548636079
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1396300497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-391-7175",
            "fax_number": "503-585-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-391-7175",
            "fax_number": "503-585-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PATRICIA",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "MS, QMHP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmyers@ptcn.biz",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "2905 River Rd S",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973029754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCKIRCHY",
            "middle_name": "JOANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• My Life Alive LLC
• Kathleen Rapp Myers, R.N.
• Levi S Myers
• Mika Myers
• Patricia Myers
• Robert Wayne Myers, MD
• Susan May Myers
• Thomas William Myers
• Nadia a Winstead DMD PC
• Harli Nagel, PT, DPT, LAT, ATC

• Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.