PHILOMATH COUNSELING, LLC (NPI# 1255850889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850889 |
| Entity Type | Organization |
| Organization Name | PHILOMATH COUNSELING, LLC |
| Practice Address |
1229 Main St. #105 Philomath OR 97370 |
| Mailing Address |
Po Box 1606 Philomath OR 97370-1606 |
| Practice Telephone | 5419292878 |
| Practice Fax Number | 5419293770 |
| Mailing Telephone | 5419292878 |
| Mailing Fax Number | 5419293770 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Authorized Official Name | JEANNE A GREGG (MEMBER) |
| Authorized Official Telephone | 5419292878 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L4097 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 043278 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PHILOMATH COUNSELING, LLC | 1229 Main Street Suite 103, 1229 Main St 102, Philomath, OR 97370 |
| Street Address |
1229 MAIN ST. #105 |
| City | PHILOMATH |
| State | OR |
| Zip Code | 97370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634934 | Pamela Versage | Physical Therapist | 111 North 20th, Philomath, OR 97370 | 2015-11-23 |
| 1588966402 | Aimee Lynn Lesieutre | Acupuncturist | 113 S. 10th St., Philomath, OR 97370 | 2010-11-29 |
| 1720397201 | Ronnie Louise Hansen | Social Worker | 1229 Main Street, Philomath, OR 97370 | 2010-09-30 |
| 1669799029 | Rebecca Bricker | Registered Nurse | 506 S. 19th Street, Philomath, OR 97370 | 2010-04-26 |
| 1457686073 | Raina Wickham | Counselor | 1229 Main Street, Suite 105, Philomath, OR 97370 | 2009-10-15 |
| 1386846038 | Rebecca D Anderson | Counselor | 1215 Main Street, Philomath, OR 97370 | 2007-06-04 |
| 1447376314 | Pediatric Therapy Professionals Inc | Clinic/Center | 111 Ne 20th St, Philomath, OR 97370 | 2007-03-22 |
| 1437201357 | Phoenix Ries | Counselor | 1322 Main St., Philomath, OR 97370 | 2007-01-18 |
| 1073699930 | Gretchen Landis | Acupuncturist | 1332 Main St., Philomath, OR 97370 | 2006-10-31 |
| 1760582985 | Mid-valley Dental of Philomath | Dentist | 2811 Main St, Philomath, OR 97370 | 2006-09-25 |
| Find all providers in zip 97370 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720397201 | Ronnie Louise Hansen | Social Worker | 1229 Main Street, Philomath, OR 97370 | 2010-09-30 |
| 1013074194 | Jeanne A. Gregg | Social Worker | 1229 Main St., Suite 105, Philomath, OR 97370-9304 | 2007-01-02 |
| 1548736895 | Ronnie Hansen Therapy LLC | Social Worker | 1229 Main St., Suite 107, Philomath, OR 97370 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1013516574 | Kathleen Elizabeth Preuss | Social Worker | 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224-0934 | 2020-10-25 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1740887249 | Bethany Anne Harvey | Social Worker | 14020 Se Briggs St, Milwaukie, OR 97267-1503 | 2020-10-07 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.