ICARUS COUNSELING INC NPI 1861576340

NPI Information

NPI: 1861576340
Provider Name: ICARUS COUNSELING INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
161 HIGH ST SE STE 204
SALEM, OR
ZIP 97301
Phone: (503) 581-7550
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ICARUS COUNSELING INC is a mental health counselor in Salem, OR. ICARUS COUNSELING INC NPI is 1861576340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

161 HIGH ST SE STE 204
SALEM, OR
ZIP 97301-610
Phone: (503) 581-7550
Fax: (503) 581-7550

The provider's authorized official is Anthony Gagliardo .
The authorized official title is Owner Therapist and has the following contact phone number (503) 581-7550.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	L0280	OREGON	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	L0280	OREGON	X
3	101Y00000X	Counselor		L0280	OREGON	X

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

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