Individual provider Active NPI

Thomas Leiferman

  • Addiction (Substance Use Disorder) Counselor
  • Corvallis, OR
National Provider Identifier
1679481238
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-25-5572 Issued in OR
Practice address
530 NW 5TH St
Corvallis, OR 97330-6419
Phone
(541) 753-3333
NPI assigned
Sep 1, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-25-5572 OR Primary

Addresses

Primary practice location

530 NW 5TH St
Corvallis, OR 97330-6419

Mailing address

530 NW 5TH St
Corvallis, OR 97330-6419
Phone (541) 753-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1679481238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 5TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306419",
            "telephone_number": "541-753-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 5TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306419",
            "telephone_number": "541-753-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFERMAN",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-25-5572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.