Salem Pastoral Counseling Center
Organization Active NPI Marriage & Family Therapist · Salem, OR
NPI 1992842850 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1992842850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- SALEM PASTORAL COUNSELING CENTER
- Practice address
- 2001 Commercial St SE Ste 200
Salem, OR 97302-5207 - Phone
- (503) 370-8050
- Fax
- (503) 370-9982
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
- Name
- George C Olson, LPC
- Title
- Co-Director
- Phone
- (503) 370-8050
Practitioners 30
-
Jill/ Ellen Conrad, M.A., L.M.F.T
-
Tyrone Dripps, CACD-1
-
Jessica Garland-Moore, M.A.
-
Rex R. Glazner, M.A.
-
Keith M Irwin, MA, QMHP
-
Christa E Kramer, MA
-
Joel P Nelson, LPC
-
George C Olson, M.A., L.P.C.
-
Brandee Kolene Ratzlaff, MA, LPC
-
Brenda Teague, MS
-
Jessica Christine Teigland, MA, QMHP
-
Judy Tuttle Zollner, LPC
-
Sheryl Lynne Wakeling, MA QMHP LPC
-
Deborah Marie Wright, M.A. L.P.C.
-
Kris Anne Baker, MSW, LCSW
-
Jodi L Miller, LPC
-
Benjamin K Olson, MA, LPC, QMHP
-
Christina K Steele, MFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240415001262 | OR | Part B Supplier - Clinic/Group Practice | 3577902287 |
Receives reassigned benefits from 22 practitioners Practice locations: Salem, OR |
National Provider Directory
Locations
2001 Commercial St SE
Ste 200
Salem, OR 97302
Phone (503) 370-8050
565 Union St NE
Ste 100
Salem, OR 97301
Phone (503) 370-8050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Pastoral Counselor |
101YP1600X | |||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Mailing address
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone (503) 370-8050
Other providers in Salem, OR
- Salem of Cascadia, LLC
- Salem of Olympus, LLC
- Salem Or Ophthalmology ASC LLC
- Salem Oregon Counseling LLC
- Salem Pain and Spine Specialists PC
- Salem Pediatric Clinic
- Salem Physical Therapy
- Salem Psychiatric Associates PC
- Salem Psychiatric Associates, P.C.
- Salem Psychiatry & Wellness LLC
All providers in Salem, OR · Marriage & Family Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.