DR. THOMAS WESLEY AYALA (NPI# 1154564185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154564185 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WESLEY AYALA |
| Credential | LICENSED COUNSELOR |
| Practice Address |
880 Main St Lebanon OR 97355 |
| Mailing Address |
Po Box 280 Lebanon OR 97355-0280 |
| Practice Telephone | 5412588210 |
| Practice Fax Number | 5412588212 |
| Mailing Telephone | 5412588210 |
| Mailing Fax Number | 5412588212 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
C1962 | OR | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSED PROFESSIONAL COUNSELOR | C1962 | 01 |
| NC | NATIONAL BOARD CERTIFIED COUNSELOR | 227513 | 01 |
| Street Address |
880 MAIN ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164932083 | Kimberly Anne Lovelock | Psychologist | 964 Isabel Dr, Lebanon, PA 17042-7482 | 2017-10-05 |
| 1073731667 | Michael W Mills | Psychologist | Po Box 766, Lebanon, NH 03766-0766 | 2007-04-22 |
| 1518035005 | Karen Lee Gillock | Psychologist | 115 Etna Rd, Building 1, Suite 2, Lebanon, NH 03766-1429 | 2006-12-01 |
| 1255431037 | John Reynolds Fullerton | Psychologist | Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, PA 17042-0000 | 2006-09-22 |
| 1003915786 | Peter J Garito | Psychologist | 94 Norway Ln, Lebanon, PA 17042-9098 | 2006-09-21 |
| 1306942693 | Evergreen Health Center, PC | Psychologist | 1859 S Jefferson Ave, Lebanon, MO 65536-4221 | 2006-09-15 |
| 1265466924 | Linda Julia Lee-dynes | Psychologist | 85 Mechanic St Ste 360, Lebanon, NH 03766-1500 | 2006-07-10 |
| 1194722181 | Roy A Smith Jr. | Psychologist | 200 N. 7th Street, Lebanon, PA 17046-5040 | 2005-07-05 |
| 1235647538 | Michael Jeffrey Itzkowitz | Psychologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2018-01-21 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.