Summer Breeayn Ardianto
Individual provider Active NPI Mental Health Counselor · McMinnville, OR
NPI 1972361996 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1972361996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2274 SW 2ND St Ste D
McMinnville, OR 97128-5597 - Phone
- (503) 372-5147
- Fax
- (503) 266-8632
- NPI assigned
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Yes |
Addresses
Primary practice location
2274 SW 2ND St Ste D
McMinnville, OR 97128-5597
Mailing address
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
Other practice location 1
5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551
Phone (503) 372-5147
Other providers in McMinnville, OR
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- Mark Steven Appel
- Sarah Appling
- Stephanie Arciga
- Phillip Arends
- Joshua Armstrong
- Merlynn Lauralee Arnett
- Barbara Arnold
- Nan M. Arnold
All providers in McMinnville, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.