Westwind Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7404 Issued in OR

Legal business name

WESTWIND COUNSELING LLC

Practice address

2396 NW Kings Blvd Ste 201
Corvallis, OR 97330-3984

Phone

(541) 224-1684

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Desiree Colonica, LCSWNPI 1790069672

Title

Owner/Operator

Phone

(541) 224-1684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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

• Desiree Ann Colonica, LCSW

  • Clinical Social Worker
  • Albany, OR
  • NPI 1790069672
  Medicare reassignment NPD Authorized official
• Dominique Lea Corellas

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1942823760
  NPD (past)
• Dale Cox, MSW, LCSW

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1942272125
  NPD (past)
• Kris Paget Yannelli

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1043916091
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1982199683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2396 NW KINGS BLVD STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303984",
            "telephone_number": "541-224-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2396 NW KINGS BLVD STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303984",
            "telephone_number": "541-224-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "COLONICA",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "541-224-1684",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent C. Wesenberg, MD
• Tara N Westby, PA-C
• London Alexander Westerlund
• Sunne Dwan Westmoreland
• Nathan Weston
• Rylee J Wetmore, BSN, RN
• Benjamin S Wetzel, M.D.
• Blake Robert Wetzel
• Gael Anne Wheeler, DO
• Richard Andrew Wheeler

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.