Soul Push LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOUL PUSH LLC

Doing business as

soul push llc

Practice address

1038 Broadway St NE
Salem, OR 97301-1276

Phone

(605) 824-8659

NPI assigned

May 30, 2025

Last updated

May 30, 2025By 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

Ali FarhanNPI 1265289201

Title

Owner

Phone

(605) 824-8659

Specialties & licenses 1

Addresses

Other names 1

• soul push llc Doing business as

Locations

Practitioners 1

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.

• Ali Farhan

  • Mental Health Counselor
  • Laveen, AZ
  • NPI 1265289201

  Adult Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1598658387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 BROADWAY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011276",
            "telephone_number": "605-824-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 BROADWAY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011276",
            "telephone_number": "605-824-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PUSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "FARHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-824-8659"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "soul push llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith E Soto, RN
• Marisol Soto
• Nancy Soto, BA
• Veronica Soto
• Soul Focus Wellness Center, LLC (Soul Focus Massage)
• Sound Pain Alliance (Black Stone Health)
• South Falls Counseling LLC
• South Salem Apothecary LLC (South Salem Apothecary)
• South Salem Apothecary, LLC (South Salem Apothecary)
• South Salem Immediate Care Inc. (DBA Urgent Care Clinic South)

• Adult Mental Health Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.