Individual provider Active NPI

Jessica Garland-Moore, M.A.

  • Counselor
  • Salem, OR
National Provider Identifier
1578764239
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
565 Union St NE
#105
Salem, OR 97301-2477
Phone
(503) 316-6770
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

565 Union St NE
#105
Salem, OR 97301-2477

Mailing address

2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone (035) 580-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001785 OR Practitioner - Mental Health Counselor 9436592623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Pastoral Counseling CenterGroup PAC ID 3577902287, 16 clinicians

Practice addresses (Care Compare)

2001 Commercial St SE
Salem, OR 97302-5207
Phone 5033708050208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Pastoral Counseling Center CurrentSince Mar 11, 2024 Accepting new patients
New Perspectives Center for Counseling & Therapy Past Accepting new patients

Locations

2001 Commercial St SE
Salem, OR 97302
Phone (503) 363-1500

2001 Commercial St SE
Ste 200
Salem, OR 97302
Phone (503) 370-8050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1578764239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COMMERCIAL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025207",
            "telephone_number": "035-580-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE",
            "address_2": "#105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012477",
            "telephone_number": "503-316-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND-MOORE",
        "first_name": "JESSICA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.