Quiet Space Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

QUIET SPACE THERAPY LLC

Practice address

2355 State St Ste 101
Salem, OR 97301-4541

Phone

(360) 521-2478

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erol Berkeley-Hanson

Title

LLC Owner

Phone

(503) 741-2958

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erol Rochelle Berkeley

  • Counselor
  • Portland, OR
  • NPI 1154813483

  Clinical

  NPD

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1477314144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "360-521-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET SPACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "BERKELEY-HANSON",
        "authorized_official_first_name": "EROL",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "503-741-2958"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia H Quaye
• Fabian James Quenelle
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Clinical Laboratories Inc.
• Quiddity Counseling
• Quijano Family Practice
• Harlem H Quijano, D.C
• Lerma Ocapan Quijano, MD
• Bonita Gail Quinn
• Cindy Quintanilla

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.