Organization Active NPI

Chakra LLC

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1659866911
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CHAKRA LLC
Practice address
161 High St SE Ste 209
Salem, OR 97301-3693
Phone
(971) 283-9924
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Muni Sharon Reddy, MA, CADC, LPC INTERN
Title
Counselor
Phone
(503) 501-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

161 High St SE Ste 209
Salem, OR 97301-3693

Mailing address

161 High St SE Ste 209
Salem, OR 97301-3693

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1659866911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE STE 209",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE STE 209",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013693",
            "telephone_number": "971-283-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAKRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MUNI",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-501-6991",
        "authorized_official_credential": "MA, CADC, LPC INTERN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.