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MAKENNA MARIE COFFEE
NPI 1174279111
Social Worker - Clinical in Salem, OR

Active since February 28, 2022PECOS Enrolled
2645 PORTLAND RD NE STE 120, SALEM, OR 97301(503) 390-5637 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Oct 11, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2022).

About Makenna Marie Coffee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKENNA MARIE COFFEE (NPI 1174279111) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L17717) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174279111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAKENNA MARIE COFFEE
Location Address2645 PORTLAND RD NE STE 120Salem, OR 97301-0200
Mailing Address2645 Portland Rd Ne Ste 120Salem, OR 97301-0200
Phone(503) 390-5637
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2022
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1174279111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L17717
Definition
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.
2645 PORTLAND RD NE STE 120, Salem, OR 97301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makenna Marie Coffee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284105883
PECOS Enrollment IDI20260604001980
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE WALKER
Counselor
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
JONATHAN MICHAEL BRUBAKER
Case Manager/Care Coordinator
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
SARA MCNINCH
Peer Specialist
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (971) 900-9057
MAYRA LARIOS
Counselor
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
MRS. DANNA SHEREE JONES
Social Worker
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
PATRICIA LEANN BRINLEE
Social Worker
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
VANESSA CANCHOLA MARTINEZ
Counselor (Mental Health)
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637
AMANDA JEANETTE FAULKNER
Counselor
2645 PORTLAND RD NE STE 120
SALEM, OR 97301
Marion County (503) 390-5637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makenna Coffee's NPI number?

The NPI number for Makenna Coffee is 1174279111. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Makenna Coffee located?

Makenna Coffee practices at 2645 Portland Rd NE Ste 120, Salem, OR 97301. The listed phone number is (503) 390-5637.

What is Makenna Coffee's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Makenna Coffee enrolled in Medicare?

Yes. Makenna Coffee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makenna Coffee was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.