Individual provider Active NPI

Cristina Boguna Falco, QMHP

  • Mental Health Counselor
  • Albany, OR
National Provider Identifier
1760132328
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C11076 Issued in OR
Practice address
2544 23Rd Ave NW
Albany, OR 97321-1693
Phone
(210) 986-8617
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 C11076 OR Primary

Addresses

Primary practice location

2544 23Rd Ave NW
Albany, OR 97321-1693

Mailing address

2544 23Rd Ave NW
Albany, OR 97321-1693
Phone (210) 986-8617

Other identifiers 1

IdentifierTypeStateIssuer
128715MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309001086 OR Practitioner - Mental Health Counselor 3577046580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C11076ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Old Mill Center for Children and Families PastSince Apr 1, 2022 Accepting new patients

Locations

2601 25th St SE
Ste 350
Salem, OR 97302

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1320 Mayes Rd
Toccoa, GA 30577-6761

242 W Savage Ave
Saratoga Springs, UT 84045-6454

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1760132328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 23RD AVE NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211693",
            "telephone_number": "210-986-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 23RD AVE NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211693",
            "telephone_number": "210-986-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUNA FALCO",
        "first_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "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": "C11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128715",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.