Organization Active NPI

Silver Falls Trauma Recovery LLC

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1871131201
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SILVER FALLS TRAUMA RECOVERY LLC
Doing business as
Silver Falls Trauma Recovery
Practice address
525 Glen Creek Rd NW Ste 120
Salem, OR 97304-3155
Phone
(503) 897-9609
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Ms. Melinda A Cooper, LPCNPI 1598151854
Title
Sole Owner
Phone
(503) 860-0987

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

525 Glen Creek Rd NW Ste 120
Salem, OR 97304-3155

Mailing address

525 Glen Creek Rd NW Ste 120
Salem, OR 97304-3155
Phone (503) 897-9609

Other identifiers 1

IdentifierTypeStateIssuer
500865547MedicaidOR

Other names 2

  • Silver Falls Trauma Recovery Doing business as
  • Silver Falls Trauma Recovery LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822004637 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931648839 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

525 Glen Creek Rd NW
Ste 120
Salem, OR 97304
Phone (503) 897-9609

495 State St
Ste 540
Salem, OR 97301
Phone (503) 897-9609

101 N Water St
Ste A
Silverton, OR 97381

Practitioners & affiliated clinicians

Practitioners 2

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1871131201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 GLEN CREEK RD NW STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043155",
            "telephone_number": "503-897-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 GLEN CREEK RD NW STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043155",
            "telephone_number": "503-897-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER FALLS TRAUMA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "503-860-0987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500865547",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Falls Trauma Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Falls Trauma Recovery LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Silver Falls Trauma Recovery LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2026; 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.