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CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL NPI 1144345570


NPI Information

NPI: 1144345570
Provider Name: CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL

Doing Business As: CATHOLIC COMMUNITY SERVICES

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3737 PORTLAND RD
SALEM, OR
ZIP 97301
Phone: (503) 390-2600
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CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL is a counselor in Salem, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CATHOLIC COMMUNITY SERVICES OF THE MID-WILLAMETTE VALLEY AND CENTRAL NPI is 1144345570. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Catholic Community Services.

The provider's business location address is:

3737 PORTLAND RD
SALEM, OR
ZIP 97301
Phone: (503) 390-2600
Fax: (503) 390-8629

The provider's authorized official is Margaret A Manfroi .
The authorized official title is Billing Specialist and has the following contact phone number (503) 856-7006.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 2/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4106H00000XMarriage & Family TherapistNo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
7101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1226320OTHEROREGONISN PROVIDER NUMBER
2230442OTHEROREGONCCC PROVIDER NUMBER
3930796801OTHEROREGONRFS TAX ID NUMBER
4226320OTHEROREGONCYFS PROVIDER NUMBER
5182536OTHEROREGONNS PROVIDER NUMBER
6931280935OTHEROREGONISN TAX ID
7030585OTHEROREGONCCC OMAP PROVIDER NUMBER
8182536OTHERNEW STEP
9230442OTHERCOUNSEL
10261545OTHEROREGONRAINBOW PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.