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

Organization subpart

No

Name

Kim Maria Cansino, LMFTNPI 1780017327

Title

Owner

Phone

(747) 258-5004

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

• 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)

Medicare fee-for-service enrollment

Enrolled in OR

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2024.

{
    "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": "193200000X MULTI-SPECIALTY 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

• All providers in Dallas, OR
• 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.