Individual provider Active NPI

Dana Spade, MA, LPC

  • Professional Counselor
  • Woodburn, OR
National Provider Identifier
1790234078
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5657 Issued in OR
Practice address
1310 Meridian Dr
Woodburn, OR 97071-9668
Phone
(503) 953-0310
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X C5657 OR Primary

Addresses

Primary practice location

1310 Meridian Dr
Woodburn, OR 97071-9668

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Other practice location 1

104 4th Ave SW
Room 238
Albany, OR 97321-2804
Phone (541) 967-3819

Other practice location 2

4720 River Rd N
Keizer, OR 97303-4536
Phone (503) 567-2365

Other identifiers 1

IdentifierTypeStateIssuer
101279MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Hope Counseling LLC Current Accepting new patients
Brightways Counseling Group LLC Addiction (Substance Use Disorder) CurrentSince Dec 5, 2024 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Linn County Alcohol and Drug Past Accepting new patients

Locations

4720 River Rd N
Keizer, OR 97303
Phone (503) 314-8598

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

2555 Silverton Rd NE
Salem, OR 97301
Phone (503) 393-4273

1310 Meridian Dr
Woodburn, OR 97071
Phone (503) 509-8414

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1790234078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-953-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 4th Ave SW",
            "address_2": "Room 238",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212804",
            "country_code": "US",
            "telephone_number": "541-967-3819",
            "fax_number": "541-967-7259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 River Rd N",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973034536",
            "country_code": "US",
            "telephone_number": "503-567-2365",
            "fax_number": "503-390-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADE",
        "first_name": "DANA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101279",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.