Tog Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TOG COUNSELING LLC

Practice address

640 NE 3Rd St Ste 200
McMinnville, OR 97128-4630

Phone

(971) 716-1710

Fax

(971) 423-0654

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Trish Anne Oleary Goldstein, LCSWNPI 1205238995

Title

Owner

Phone

(971) 716-1710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trish Anne Oleary Goldstein, MSW, LCSW, CCIS II

  • Mental Health Counselor
  • McMinnville, OR
  • NPI 1205238995
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1548030521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 NE JACOB ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288902",
            "telephone_number": "971-716-1710",
            "fax_number": "971-423-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NE 3RD ST STE 200",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284630",
            "telephone_number": "971-716-1710",
            "fax_number": "971-423-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "OLEARY GOLDSTEIN",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-716-1710",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205238995",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephen Townsend, MD
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• Angela Lynne Tramelli, DNP, FNP-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.