Individual provider Active NPI

Cyncha Phillips Dato, LPC

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1699143305
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5680 Issued in OR
Practice address
161 High St SE Ste 235
Salem, OR 97301-3955
Phone
(503) 560-0802
Fax
(971) 273-7253
NPI assigned
Sep 11, 2015
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X C5680 OR Primary

Addresses

Primary practice location

161 High St SE Ste 235
Salem, OR 97301-3955

Mailing address

161 High St SE Ste 235
Salem, OR 97301-3955
Phone (503) 560-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2024 through Apr 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C5680ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Counseling and Wellness Mental Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1699143305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE STE 235",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013955",
            "telephone_number": "503-560-0802",
            "fax_number": "971-273-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE STE 235",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013955",
            "telephone_number": "503-560-0802",
            "fax_number": "971-273-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATO",
        "first_name": "CYNCHA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.