Active NPI
Icarus Counseling Inc
- Counselor
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- L0280
- Legal business name
- ICARUS COUNSELING INC
- Practice address
- 161 High St SE Ste 204
Salem, OR 97301-3610 - Phone
- (503) 581-7550
- Fax
- (503) 581-7550
- NPI assigned
- Oct 24, 2006
- 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
- Mr. Anthony Gagliardo, LCSW
- Title
- Owner Therapist
- Phone
- (503) 581-7550
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | L0280 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | L0280 | OR | |
| Mental Health Counselor | 101YM0800X | L0280 | OR |
Addresses
Primary practice location
161 High St SE Ste 204
Salem, OR 97301-3610
Mailing address
161 High St SE Ste 204
Salem, OR 97301-3610
Phone (503) 581-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
161 High St SE
Ste 206A
Salem, OR 97301
Phone (503) 999-7702
161 High St SE
Ste 204
Salem, OR 97301
Phone (503) 581-7550
161 High St SE
Ste 208A
Salem, OR 97301
Phone (503) 581-7550
Practitioners & 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": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1861576340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 HIGH ST SE STE 204",
"city": "SALEM",
"state": "OR",
"postal_code": "973013610",
"telephone_number": "503-581-7550",
"fax_number": "503-581-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 HIGH ST SE STE 204",
"city": "SALEM",
"state": "OR",
"postal_code": "973013610",
"telephone_number": "503-581-7550",
"fax_number": "503-581-7550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARUS COUNSELING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GAGLIARDO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER THERAPIST",
"authorized_official_telephone_number": "503-581-7550",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "OR",
"license": "L0280",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "L0280",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "L0280",
"primary": false
}
],
"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 Sep 11, 2025; 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.