Organization Active NPI

Nourish Wellness and Counseling Center

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1902760226
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOURISH WELLNESS AND COUNSELING CENTER
Practice address
260 SW Madison Ave # 104-2
Corvallis, OR 97333-4798
Phone
(541) 714-3565
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Farrah Dalal, LMFTNPI 1669680104
Title
Owner
Phone
(541) 714-3565

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

260 SW Madison Ave # 104-2
Corvallis, OR 97333-4798

Mailing address

260 SW Madison Ave # 104-2
Corvallis, OR 97333-4798
Phone (541) 714-3565

National Provider Directory

National Provider Directory

Locations

260 SW Madison Ave
#1042
Corvallis, OR 97333
Phone (541) 714-3565

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": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1902760226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE # 104-2",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334798",
            "telephone_number": "541-714-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE # 104-2",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334798",
            "telephone_number": "541-714-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH WELLNESS AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-714-3565",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.