Organization Active NPI

Icarus Counseling Inc

  • Counselor
  • Salem, OR
National Provider Identifier
1861576340
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
L0280 Issued in OR
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

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Anthony Gagliardo, LCSWNPI 1922022946
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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X L0280 OR Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X L0280 OR
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040225001147 OR Part B Supplier - Clinic/Group Practice 5890681845 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.