MR. DALLAS NORTHCOUTT


Address: 1095 25th Street Se, Salem, OR 97231
Phone: 5033997400

MR. DALLAS NORTHCOUTT (NPI# 1740311257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740311257
Entity Type Individual
Full Name MR. DALLAS NORTHCOUTT
Practice Address 1095 25th Street Se
Salem
OR 97231
Mailing Address 2465 Tynel Ct Ne
Keizer
OR 97303-1058
Practice Telephone 5033997400
Enumeration Date 2007-03-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1095 25TH STREET SE
City SALEM
State OR
Zip Code 97231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255538567 Cole Andrew Byerly Case Manager/Care Coordinator 229 South East 4th Avenue, Albany, OR 97231 2007-06-29
1023007093 Native American Rehabilitation Association, Inc. Clinic/Center 17645 Nw St Helens Rd, Portland, OR 97231 2005-10-20
1063942423 Guadalupe Aragon Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231 2017-06-18
1750752010 Paul O Nelson Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231 2015-10-13
1336540392 Jacob M Lehman Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231 2014-09-09
1215110689 Meghan M Walls Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231 2007-12-08
1730546433 Meribeth Ester Malone Specialist 18229 Nw Reeder Rd, Portland, OR 97231-1427 2016-01-26
1336130822 Christine Ann Talent Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 2005-11-02
1568082287 Cecilia B Brandenburg Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 2020-04-22
1952931776 Irvin D Wilson Counselor 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 2020-01-21
Find all providers in zip 97231

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755586 Emma Theresa Cox Case Manager/Care Coordinator 33 Upham St Apt 3, Salem, MA 01970-2460 2020-09-22
1407475064 Yolanda Loyer Case Manager/Care Coordinator 2789 E State St Ste 7, Salem, OH 44460-9327 2020-04-14
1770121501 Stacy Bush Phillips Case Manager/Care Coordinator 1501 Mill Race Dr, Salem, VA 24153-3137 2019-12-11
1528618659 Linda Diane Pierce Case Manager/Care Coordinator 1724 Broadway St Ne, Salem, OR 97301-0509 2019-09-20
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1427576065 Katherine Lingmai Case Manager/Care Coordinator 1790 23rd St. Ne, Salem, OR 97301 2017-09-04
1225577240 Anjalique Benham Case Manager/Care Coordinator 5 Lancelot Ct, Apt#1, Salem, NH 03079-3555 2017-02-23
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1467810945 Carl Walton Kapocias Case Manager/Care Coordinator 750 Front St Ne, Salem, OR 97301-1089 2016-01-29
1215339361 Kaylor Ficklin Case Manager/Care Coordinator 188 E 300 S, Salem, UT 84653-9453 2014-09-19
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97231

Improve Information

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Dataset Information

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.

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