NW Mind-Body Wellness, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201406327NP-PP Issued in OR

Legal business name

NW MIND-BODY WELLNESS, LLC

Practice address

945 Columbia St NE
Salem, OR 97301-7205

Phone

(503) 707-1950

Fax

(855) 461-3306

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Dorsey, APRN

Title

Owner / Provider

Phone

(503) 707-1950

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shauna Ann Alloway, LCSW

  • Mental Health Counselor
  • Salem, OR
  • NPI 1356775050
  NPD
• Stacy Burdick, DM- BCC (2054) RBAI

  • Pastoral Counselor
  • Salem, OR
  • NPI 1780399808

  Single Specialty

  NPD (past)
• Jennifer Crocker, LPC

  • Professional Counselor
  • Tigard, OR
  • NPI 1730548215
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1467969220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 COLUMBIA ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017205",
            "telephone_number": "503-707-1950",
            "fax_number": "855-461-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 COLUMBIA ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017205",
            "telephone_number": "503-707-1950",
            "fax_number": "855-461-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW MIND-BODY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "503-707-1950",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201406327NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jeremy Nurre, MD
• Margaret Isabel Nutting
• Jillian Nuziale, PHARMD
• NW Family Chiropractic
• NW Family Chiropractic
• NW Oregon Medical and a Wheelchair Transport
• Nwcare Inc
• Moreen Jeanette Nye, FNP
• Karen Nygren, RN
• Nduta Nyoro-Cayton

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.