Deeper Well Psychotherapy and Counseling, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC

Practice address

120 SW 4TH St
Corvallis, OR 97333-4724

Phone

(541) 262-0080

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Maria P Orr, MA, LMFTNPI 1497192306

Title

Owner

Phone

(831) 331-5993

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Maria Patricia Orr, QMHP

  • Mental Health Counselor
  • Corvallis, OR
  • NPI 1497192306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1548748361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SE HATHAWAY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973339262",
            "telephone_number": "831-331-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334724",
            "telephone_number": "541-262-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3316 SE Hathaway Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973339262",
            "country_code": "US",
            "telephone_number": "831-331-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-331-5993",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497192306",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Leigh Deane, QMHA
• Caroline Decker
• Caitlin Deede, RN
• Terence E Deeds, RN
• Michelle Deeg-Davis
• Gary Wayne Dees
• Tammara Defilippis, DC
• Kelsey Defries
• Mackenzie Degarlais
• Nicole Degennaro, QMHA

• Marriage & Family Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.