Individual provider Active NPI

Alyssa Itzel Pena Alonzo, BA

  • Case Manager/Care Coordinator
  • Salem, OR
National Provider Identifier
1831833607
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2645 Portland Rd NE Ste 120
Salem, OR 97301-0200
Phone
(503) 390-5637
Fax
(503) 393-3135
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2645 Portland Rd NE Ste 120
Salem, OR 97301-0200

Mailing address

1559 Willow Ave
Woodburn, OR 97071-2154
Phone (971) 983-9811

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wp.options.org Health Information Exchange (HIE)

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
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon CurrentSince May 1, 2022 Accepting new patients

Locations

2645 Portland Rd NE
Ste 120
Salem, OR 97301

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1831833607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 WILLOW AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712154",
            "telephone_number": "971-983-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 PORTLAND RD NE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010200",
            "telephone_number": "503-390-5637",
            "fax_number": "503-393-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA ALONZO",
        "first_name": "ALYSSA",
        "middle_name": "ITZEL",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wp.options.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "3500 Chad Dr Ste 350",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974087602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.