Wise Compass Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WISE COMPASS COUNSELING LLC

Practice address

780 Commercial St SE Ste 304
Salem, OR 97301-3455

Phone

(971) 301-4337

Fax

(971) 208-9874

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By 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

Amy Tucker, LPCNPI 1376059063

Title

Owner

Phone

(971) 301-4337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Amy Lee Tucker, LPC

  • Mental Health Counselor
  • Salem, OR
  • NPI 1376059063
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1508649765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 JULIANA LOOP SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176041",
            "telephone_number": "971-301-4337",
            "fax_number": "971-208-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 304",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013455",
            "telephone_number": "971-301-4337",
            "fax_number": "971-208-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE COMPASS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-301-4337",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Winterfeld
• Loring H Winthrop, M.D.
• Winwood Center for Wellness, LLC
• Rebecca Phoebe Wippert
• Jennifer Ellen Wirsig, M.D.
• Megan Wise, PSYD
• Dana Marie Wisseman, DDS
• Sofia Withem
• Pamela Gay Witherspoon, MD
• Daniela Marie Witt

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.