Enlighten Counseling and Consulting, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENLIGHTEN COUNSELING AND CONSULTING, LLC

Practice address

2659 Commercial St SE Ste 216
Salem, OR 97302-4496

Phone

(971) 915-9344

Fax

(503) 966-0983

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Destree Lynn Thompson, LPC, CRC

Title

Owner

Phone

(971) 915-9344

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destree Lynn Rudolph, MS, CRC

  • Mental Health Counselor
  • Dallas, OR
  • NPI 1851878797
  NPD
• Glenda Kaye Evans, M.A.

  • Professional Counselor
  • Salem, OR
  • NPI 1447691092
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1700599230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ORCHARDVIEW AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041962",
            "telephone_number": "971-915-9344",
            "fax_number": "503-966-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE STE 216",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024496",
            "telephone_number": "971-915-9344",
            "fax_number": "503-966-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DESTREE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-915-9344",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851878797",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "enlightencandc.theranest.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "2659 Commercial St SE Ste 216",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973024496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Morgann Englerth, OTR/L
• Alexa C. English
• Jennifer Marie English
• Joshua Jackson English, LCSW
• Enhanced Family Counseling, LLC
• Dina Enriquez, THW
• Domonique Enriquez
• Kelsey Entz
• Kiana G Eoas, COTA/L
• Edward Louis Epifani, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.