Organization Active NPI

True North PC Therapeutic Options for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
National Provider Identifier
1427269190
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
200250038NP Issued in OR
Legal business name
TRUE NORTH PC THERAPEUTIC OPTIONS FOR MENTAL HEALTH
Practice address
2695 12TH PL SE
Salem, OR 97302-2537
Phone
(503) 371-3121
Fax
(503) 315-7571
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Jennifer Carley, PMHNP
Title
President
Phone
(503) 371-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 200250038NP OR Primary

Addresses

Primary practice location

2695 12TH PL SE
Salem, OR 97302-2537

Mailing address

2695 12TH PL SE
Salem, OR 97302-2537
Phone (503) 371-3121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1427269190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022537",
            "telephone_number": "503-371-3121",
            "fax_number": "503-315-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022537",
            "telephone_number": "503-371-3121",
            "fax_number": "503-315-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH PC THERAPEUTIC OPTIONS FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-371-3121",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "200250038NP",
            "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 Aug 31, 2009; 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.