NPIMap

Organization Active NPI

Professional Counseling Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
National Provider Identifier
1740980887
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROFESSIONAL COUNSELING GROUP LLC
Practice address
388 State St Ste 600
Salem, OR 97301-3583
Phone
(971) 375-1523
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Shannon Connor
Title
Owner/Director
Phone
(503) 857-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

388 State St Ste 600
Salem, OR 97301-3583

Mailing address

657 SE Cooper St
Dallas, OR 97338-1945
Phone (503) 857-6861

Other practice location 1

1275 NW Adams St Ste C
McMinnville, OR 97128-3549
Phone (971) 375-1523

Other practice location 2

657 SE Cooper St
Dallas, OR 97338-1945
Phone (503) 857-6861

National Provider Directory

National Provider Directory

Locations

1275 NW Adams St
Ste C
McMinnville, OR 97128
Phone (503) 858-2394

388 State St
Ste 600
Salem, OR 97301
Phone (503) 375-1523

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1740980887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SE COOPER ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381945",
            "telephone_number": "503-857-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 600",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013583",
            "telephone_number": "971-375-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 NW Adams St Ste C",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971283549",
            "country_code": "US",
            "telephone_number": "971-375-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 SE Cooper St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381945",
            "country_code": "US",
            "telephone_number": "503-857-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "503-857-6861"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Sep 28, 2023; 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.