JILL/ ELLEN CONRAD (NPI# 1174825855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174825855 |
| Entity Type | Individual |
| Full Name | JILL/ ELLEN CONRAD |
| Credential | M.A., L.M.F.T |
| Practice Address |
1300 Broadway St. Ne Ste # 409 Salem OR 97301-9730 |
| Mailing Address |
1300 Broadway Street Ne Suite #409 Salem OR 97301 |
| Practice Telephone | 5033708050 |
| Mailing Telephone | 5033708050 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0731 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1300 BROADWAY ST. NE STE # 409 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-9730 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512938 | Roseanne Pikul, Lmft, LLC | Marriage & Family Therapist | 880 Liberty St Ne Ste 102, Salem, OR 97301-2450 | 2019-08-02 |
| 1164870531 | Cynthia Jane Fegles | Marriage & Family Therapist | 880 Liberty St. Ne, Salem, OR 97301 | 2016-05-26 |
| 1053787267 | Brian J Hamilton | Marriage & Family Therapist | 151 Main St Ste 6c, Salem, NH 03079-3109 | 2015-08-12 |
| 1821349119 | Michael Elkin | Marriage & Family Therapist | 70 Washington St Suite 322, Salem, MA 01970 | 2012-09-26 |
| 1306108964 | Jessica Michaela Pechinis | Marriage & Family Therapist | 35 Congress St Ste 2150b, Salem, MA 01970-5529 | 2012-06-11 |
| 1215247705 | David T. Wood | Marriage & Family Therapist | 5061 Liberty Rd S, Suite 130, Salem, OR 97306-2073 | 2010-10-18 |
| 1932427457 | Dominique L Sotelo | Marriage & Family Therapist | 155 Liberty St Ne Ste 370, Salem, OR 97301-3552 | 2010-05-07 |
| 1427295120 | Scot B Sternberg | Marriage & Family Therapist | 70 Washington St Ste 320, Salem, MA 01970-3520 | 2009-01-16 |
| 1114173283 | Lora Wilson Goodenough | Marriage & Family Therapist | 495 State St Ste 301, Salem, OR 97301-3757 | 2008-08-08 |
| 1689890493 | Marcus Eric Berglund | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97303-2511 | 2007-04-18 |
| 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.