Active NPI
Danica Jeanne Layne
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1538695812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R9431
- Practice address
- 161 High St SE Ste 232
Salem, OR 97301-3620 - Phone
- (541) 818-0009
- NPI assigned
- May 5, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19542 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | R9431 | OR | Primary |
Addresses
Primary practice location
161 High St SE Ste 232
Salem, OR 97301-3620
Mailing address
4090 Beck Ave SE
Salem, OR 97317-5617
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9431 | OR | MD | Mental Health Counselor |
| 19542 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Moments LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Salem, OR
- NPI 1063994309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1538695812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4090 BECK AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973175617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 HIGH ST SE STE 232",
"city": "SALEM",
"state": "OR",
"postal_code": "973013620",
"telephone_number": "541-818-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "DANICA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-05",
"last_updated": "2024-06-27",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19542",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R9431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 27, 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.