Edgewood Mental Health and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDGEWOOD MENTAL HEALTH AND WELLNESS LLC

Practice address

280 Liberty St SE Ste 206
Salem, OR 97301-3554

Phone

(503) 308-1301

Fax

(503) 217-6526

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Emma Lime

Title

Owner

Phone

(503) 308-1301

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Keith Elmore, PSYD

  • Professional Counselor
  • Salem, OR
  • NPI 1902095334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1922859198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24815 S ELLSWORTH RD APT 179",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421929",
            "telephone_number": "503-308-1301",
            "fax_number": "503-217-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LIBERTY ST SE STE 206",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013554",
            "telephone_number": "503-308-1301",
            "fax_number": "503-217-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "LIME",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-308-1301"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Eddy, HAS
• Timothy Edelblute, M.D.
• Meredyth Goldberg Edelson, PHD
• Rebecca Edens
• Kari Rae Edgell, PHARMD
• Elisabeth Saboundjian Edgreen
• Edm Enterprises, Inc (American Hospice Equipment Company)
• Clara Edmonds
• David L Edmonds, MD
• Trina Edmonds

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.