Barbara Jane Basom, RN
Individual provider Active NPI Mental Health Counselor · Saint Helens, OR
NPI 1497092852 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1497092852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 271 Columbia Blvd
Saint Helens, OR 97051-2021 - Phone
- (503) 397-0391
- Fax
- (503) 397-5373
- NPI assigned
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201041945RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Community Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Yes | |
| Registered Nurse | 163W00000X | 201041945RN | OR |
Addresses
Primary practice location
271 Columbia Blvd
Saint Helens, OR 97051-2021
Mailing address
PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123190 | Medicaid | OR |
Other providers in Saint Helens, OR
- Lindsey Michelle Bailey
- Amy Dawn Baker
- Ram Abram Banda Corralejo
- Alysha Barbour
- Gea Belle Barker
- Julie Bastian
- Amber E Bathon
- Seth A Battles
- Marti Bazell
- Beacon Chiropractic, LLC
All providers in Saint Helens, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.