Active NPI
Maria Theresa Rothenburger, PHD, LPC
- Professional Counselor
- Salem, OR
National Provider Identifier
1528214459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4185
- Practice address
- 161 High St SE Ste 230
Salem, OR 97301 - Phone
- (971) 301-4906
- Fax
- (503) 877-1926
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH607047750 | WA | |
| Professional Counselor | 101YP2500X | 37PC00392700 | NJ | |
| Professional Counselor | 101YP2500X | C4185 | OR | Primary |
Addresses
Primary practice location
161 High St SE Ste 230
Salem, OR 97301
Mailing address
PO Box 5311
Salem, OR 97304-0311
Phone (971) 301-4906
Other practice location 1
290 Union Blvd
Suite 5
Totowa, NJ 07512-2610
Phone (862) 245-1704
Other names 1
- Maria Theresa Anter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH607047750 | WA | MD | Mental Health Counselor |
| 37PC00392700 | NJ | MD | Professional Counselor |
| C4185 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1528214459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5311",
"city": "SALEM",
"state": "OR",
"postal_code": "973040311",
"telephone_number": "971-301-4906",
"fax_number": "503-877-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 HIGH ST SE STE 230",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "971-301-4906",
"fax_number": "503-877-1926"
}
],
"practiceLocations": [
{
"address_1": "290 Union Blvd",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Totowa",
"state": "NJ",
"postal_code": "075122610",
"country_code": "US",
"telephone_number": "862-245-1704",
"fax_number": "800-694-1158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHENBURGER",
"first_name": "MARIA",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH607047750",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00392700",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "ANTER",
"middle_name": "THERESA",
"code": "1",
"type": "Former Name"
}
]
}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 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.