Active NPI
Terri Zancanella, QMHA
- Counselor
- Toledo, OR
National Provider Identifier
1730512591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0106
- Practice address
- 321 SE 3Rd St
Toledo, OR 97391-1613 - Phone
- (541) 336-2254
- Fax
- (541) 336-1803
- NPI assigned
- Aug 15, 2013
- Last updated
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0106 | OR | Primary |
Addresses
Primary practice location
321 SE 3Rd St
Toledo, OR 97391-1613
Mailing address
321 SE 3Rd St
PO Box 893
Toledo, OR 97391-1613
Phone (541) 336-2254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-0698327 | Other | OR | PRIVATE NONPROFIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1730512591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 SE 3RD ST",
"address_2": "PO BOX 893",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973911613",
"telephone_number": "541-336-2254",
"fax_number": "541-336-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 SE 3RD ST",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973911613",
"telephone_number": "541-336-2254",
"fax_number": "541-336-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANCANELLA",
"first_name": "TERRI",
"name_prefix": "Mrs.",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "0106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE NONPROFIT",
"identifier": "93-0698327",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.