Primal Path Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRIMAL PATH THERAPY LLC

Practice address

2355 State St Ste 101
Salem, OR 97301-4541

Phone

(541) 625-4361

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Melanie Sellers, MANPI 1336897917

Title

MCF Therapist Associate

Phone

(541) 625-4361

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melanie Lynn Sellers

  • Marriage & Family Therapist
  • Canby, OR
  • NPI 1336897917
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1811716202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27075 CLEAR LAKE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029443",
            "telephone_number": "562-641-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "541-625-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL PATH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MCF THERAPIST ASSOCIATE",
        "authorized_official_telephone_number": "541-625-4361",
        "authorized_official_credential": "MA"
    },
    "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": []
}

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• Bruce Arthur Priem, M.S. P.T.
• Marcie Lynn Pries, CHW
• Margery Ruth Pries, L.M.T.
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• Renee Carolyn Prins, M.D.
• Logan Prior, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.