Jan Paul Silverio, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1417 Issued in OR

Practice address

744 NW 4TH St
Corvallis, OR 97330-6415

Phone

(541) 752-9501

Fax

(541) 752-9860

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Silver Falls Dermatology, LLC

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1417163635
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1811917404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 SW CHINTIMINI AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331557",
            "telephone_number": "541-752-9501",
            "fax_number": "541-752-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-752-9501",
            "fax_number": "541-752-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERIO",
        "first_name": "JAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242488",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R173680",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Grace Silbernagel
• Terri Ann Silkett
• Carol Fox Sillars, PH.D.
• Kaimi Silva
• Siena Madelene Silvanus-Hershiser
• Drew Silverman, MS, QMHP-C, CADC III
• Jordan Sim
• Madison Sim
• Willow Magick Simer
• Roxane F Simi

• Mental Health Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.