NPIMap

Organization Active NPI

Effective Foundations Counseling and Consultation Services

Doing business as Yaga Healing Place

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1487144986
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EFFECTIVE FOUNDATIONS COUNSELING AND CONSULTATION SERVICES
Doing business as
Yaga Healing Place
Practice address
280 Court St NE Ste 205
Salem, OR 97301-3443
Phone
(971) 217-7754
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Olga Leonova, LPC
Title
Program Director
Phone
(971) 217-7754

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

280 Court St NE Ste 205
Salem, OR 97301-3443

Mailing address

280 Court St NE Ste 205
Salem, OR 97301-3443

Other practice location 1

10175 SW Barbur Blvd Ste 310B
Portland, OR 97219-5955
Phone (971) 217-7754

Other names 1

  • Yaga Healing Place Doing business as

National Provider Directory

National Provider Directory

Locations

10175 SW Barbur Blvd
Ste 310B
Portland, OR 97219
Phone (971) 217-7754

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1487144986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COURT ST NE STE 205",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COURT ST NE STE 205",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013443",
            "telephone_number": "971-217-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10175 SW Barbur Blvd Ste 310B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972195955",
            "country_code": "US",
            "telephone_number": "971-217-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EFFECTIVE FOUNDATIONS COUNSELING AND CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "LEONOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "971-217-7754",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaga Healing Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 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.