Active NPI
Ailiah Trine Dee Schafer
- Public Health or Welfare Agency
- Corvallis, OR
National Provider Identifier
1790022374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Practice address
- 4515 SW West Hills Rd
Corvallis, OR 97333-3999 - Phone
- (541) 286-5121
- NPI assigned
- Jan 15, 2013
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
4515 SW West Hills Rd
Corvallis, OR 97333-3999
Mailing address
4515 SW West Hills Rd
Corvallis, OR 97333-3999
Other practice location 1
4455 NE Highway 20
Corvallis, OR 97330-9695
Phone (541) 758-5900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Shelter | Case Management | Current | Accepting new patients |
Locations
4515 SW West Hills Rd
Corvallis, OR 97333
Phone (503) 583-2804
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": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1790022374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 SW WEST HILLS RD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973333999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 SW WEST HILLS RD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973333999",
"telephone_number": "541-286-5121"
}
],
"practiceLocations": [
{
"address_1": "4455 NE Highway 20",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973309695",
"country_code": "US",
"telephone_number": "541-758-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAFER",
"first_name": "AILIAH",
"middle_name": "TRINE DEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.