NPIMap

Organization Active NPI

Salus, LLC

Doing business as Salus PDX

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1649762758
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SALUS, LLC
Doing business as
Salus PDX
Practice address
610 SW Alder St Ste 1100
Portland, OR 97205-3612
Phone
(503) 714-5814
NPI assigned
Jun 4, 2018
Last updated
Jun 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Jessica Tolleson, LPCNPI 1164837076
Title
Therapist
Phone
(503) 714-5814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

610 SW Alder St Ste 1100
Portland, OR 97205-3612

Mailing address

610 SW Alder St Ste 1100
Portland, OR 97205-3612

Other names 1

  • Salus PDX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230000890 OR Part B Supplier - Clinic/Group Practice 4183015175 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

610 SW Alder St
Ste 320
Portland, OR 97205
Phone (503) 489-9445

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1649762758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053612",
            "telephone_number": "503-714-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "TOLLESON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-714-5814",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salus PDX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salus PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.