Active NPI
Tyler Case Counseling LLC
- Adult Mental Health Clinic/Center
- Salem, OR
National Provider Identifier
1841071982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- TYLER CASE COUNSELING LLC
- Practice address
- 494 State St Ste 270
Salem, OR 97301-3647 - Phone
- (503) 583-2410
- Fax
- (503) 689-8097
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Case, LPC
- Title
- Owner
- Phone
- (503) 583-2410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
494 State St Ste 270
Salem, OR 97301-3647
Mailing address
494 State St Ste 270
Salem, OR 97301-3647
Phone (503) 583-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250527002902 | OR | Part B Supplier - Clinic/Group Practice | 8123547767 |
Receives reassigned benefits from 1 practitioner Practice locations: Salem, OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1841071982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 STATE ST STE 270",
"city": "SALEM",
"state": "OR",
"postal_code": "973013647",
"telephone_number": "503-583-2410",
"fax_number": "503-689-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 STATE ST STE 270",
"city": "SALEM",
"state": "OR",
"postal_code": "973013647",
"telephone_number": "503-583-2410",
"fax_number": "503-689-8097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER CASE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "CASE",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-583-2410",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.