Individual provider Active NPI

Shirley A. Hardwick, M.S. L.P.C.

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1659509784
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0092 Issued in OR
Practice address
1698 Liberty St SE
Salem, OR 97302-4348
Phone
(503) 510-1764
Fax
(503) 371-4551
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0092 OR Primary

Addresses

Primary practice location

1698 Liberty St SE
Salem, OR 97302-4348

Mailing address

4435 Redinger CT S
Salem, OR 97302-2423
Phone (503) 510-1764

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
I20250304002725 OR Practitioner - Marriage and Family Therapist 6103347307 Practice locations: Salem, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1698 Liberty St SE
Salem, OR 97302-4348
Phone (503) 510-1764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1659509784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 REDINGER CT S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022423",
            "telephone_number": "503-510-1764",
            "fax_number": "503-371-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024348",
            "telephone_number": "503-510-1764",
            "fax_number": "503-371-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "SHIRLEY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S.  L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C0092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.