EMPOWERMENT & TRANSFORMATION, INC. (NPI# 1326597808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326597808 |
| Entity Type | Organization |
| Organization Name | EMPOWERMENT & TRANSFORMATION, INC. |
| Practice Address |
189 Liberty St Ne Suite 202 Salem OR 97301-3682 |
| Mailing Address |
Po Box 2893 Salem OR 97308-2893 |
| Practice Telephone | 5034095086 |
| Mailing Telephone | 5034095086 |
| Mailing Fax Number | 5039676980 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MARY ANN FAHLSTROM (PRESIDENT) |
| Authorized Official Telephone | 5034095086 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0724 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EMPOWERMENT & TRANSFORMATION, INC. | 189 Liberty St Ne #202, Salem, OR 97301 |
| Street Address |
189 LIBERTY ST NE SUITE 202 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417971995 | Gail Ann Bills | Counselor | 189 Liberty St Ne, Salem, OR 97301-3682 | 2006-07-27 |
| 1922531417 | Mackenzie Tooze | Massage Therapist | 189 Liberty St Ne, Suite 104b, Salem, OR 97301-3682 | 2017-04-11 |
| 1851832398 | Tina Winpigler | Massage Therapist | 189 Liberty St Ne, Ste B12, Salem, OR 97301-3682 | 2017-03-16 |
| 1982058137 | Matilda Day | Counselor | 189 Liberty St Ne, Suite 203a, Salem, OR 97301-3682 | 2016-04-13 |
| 1003247479 | Life Balance Acupuncture Clinic | Clinic/Center | 189 Liberty St Ne, Salem, OR 97301-3682 | 2013-12-10 |
| 1295166171 | Manuela Terlinden | Acupuncturist | 189 Liberty St Ne, Salem, OR 97301-3682 | 2013-12-03 |
| 1669725719 | Lifecraft Counseling LLC | Social Worker | 189 Liberty St Ne, Salem, OR 97301-3682 | 2012-10-25 |
| 1023287919 | Penny J Huyck | Community/Behavioral Health | 189 Liberty St Ne, Suite 308, Salem, OR 97301-3682 | 2008-02-25 |
| 1841354396 | Amber Leigh Donaldson | Counselor | 189 Liberty St Ne, Suite 202 D, Salem, OR 97301-3682 | 2006-12-20 |
| 1649340084 | Mary Ann Fahlstrom | Marriage & Family Therapist | 189 Liberty St Ne, Suite 202, Salem, OR 97301-3682 | 2006-11-09 |
| 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 | 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 |
| 1174825855 | Jill/ Ellen Conrad | Marriage & Family Therapist | 1300 Broadway St. Ne, Ste # 409, Salem, OR 97301-9730 | 2010-12-01 |
| 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 |
| 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.