MRS. TIFFANY TEELE OTTIS (NPI# 1174664148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174664148 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY TEELE OTTIS |
| Credential | BA |
| Practice Address |
3000 Market St Ne Ste 530 Salem OR 97301-1835 |
| Mailing Address |
2285 Walker Rd Ne Salem OR 97305-2655 |
| Practice Telephone | 5033905637 |
| Mailing Telephone | 5035853752 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | OR | Behavioral Health & Social Service Providers |
| Street Address |
3000 MARKET ST NE STE 530 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772184 | Two Lanes LLC | Nurse Practitioner | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2012-05-22 |
| 1295025211 | Heather Cogar | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2011-04-11 |
| 1235438318 | Lisa Anne Bryan | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2011-03-15 |
| 1790088003 | Christopher Hupp | Case Manager/Care Coordinator | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2010-12-08 |
| 1841503745 | Brian Sexton | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2010-07-20 |
| 1386956688 | Ian Jaymes Hansen | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2010-07-02 |
| 1275864688 | Emily Rochelle Rosumny | Marriage & Family Therapist | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2010-01-25 |
| 1104055003 | Amanda Egan | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2009-07-13 |
| 1184866964 | Caryl Elizabeth May | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2009-03-25 |
| 1790930428 | Lanae Beth Barfield | Counselor | 3000 Market St Ne Ste 530, Salem, OR 97301-1835 | 2008-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824956 | Olivia Mandracchia | Counselor | 43 Bridge St Unit 2, Salem, MA 01970-4124 | 2020-09-08 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1821629569 | Kristin Cordy | Counselor | 1 Orchard Ter, Salem, MA 01970-2406 | 2020-01-31 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1124507330 | Bright Leaf Counseling and Wellness Center, LLC | Counselor | 25 E Main St Ste C, Salem, VA 24153-3806 | 2018-08-08 |
| 1063905966 | Katilyn Dalton-wise | Counselor | 18 Ward St # 1, Salem, MA 01970-5025 | 2018-06-14 |
| 1487144986 | Effective Foundations Counseling and Consultation Services | Counselor | 280 Court St Ne Ste 205, Salem, OR 97301-3443 | 2018-05-10 |
| 1699282913 | Williams English | Counselor | 35 Congress St Ste 2, Salem, MA 01970-5567 | 2018-01-08 |
| 1235678053 | Douglas Mariano | Counselor | 198 Lafayette St. Apt 2, Salem, MA 01970-4735 | 2017-02-13 |
| 1609328269 | Margaret Lilley | Counselor | 40 Mason St, Unit 4, Salem, MA 01970 | 2016-10-31 |
| Find all providers in SALEM | ||||
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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.