Center for Acceptance and Wellness P.C

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CENTER FOR ACCEPTANCE AND WELLNESS P.C

Practice address

168 SW Court St
Dallas, OR 97338-3105

Phone

(503) 751-1222

Fax

(503) 751-1229

NPI assigned

Jan 3, 2024

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Maria Cansino, LMFTNPI 1780017327

Title

Owner

Phone

(747) 258-5004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Maria Cansino

  • Mental Health Counselor
  • Valencia, CA
  • NPI 1780017327

  OR

  Medicare reassignment NPD Authorized official
• Angela Lynn Dubois

  • Mental Health Counselor
  • Dallas, OR
  • NPI 1073470142
  NPD (past)

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1598535320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SW NEWTON DR",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389038",
            "telephone_number": "747-258-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SW COURT ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973383105",
            "telephone_number": "503-751-1222",
            "fax_number": "503-751-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 SW Newton Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973389038",
            "country_code": "US",
            "telephone_number": "747-258-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ACCEPTANCE AND WELLNESS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "CANSINO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-258-5004",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meade Carlson
• Ann Elizabeth Carpenter
• Jenna Lee Carrell, OMHA I
• Noelle K Carroll, PSY.D.
• Antonia Rose Cassell
• Robert Roddy Chandler, L.M.F.T
• Kelly Chapman, D.C.
• Charles E Holton, Jr DC Inc
• Tammy Marie Chatfield, MA MFT
• Chiropractic First Wellness Center, LLC (Chiropractic First Wellness Center)

• Marriage & Family Therapist in Dallas, OR
• Providers in Dallas, 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 May 2, 2024; 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.