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WANDERING MINDS COUNSELING & CONSULTING, LLC
NPI 1194688556
Social Worker - Clinical in Roseburg, OR

Active since December 03, 2025
727 SE CASS AVE STE 206, ROSEBURG, OR 97470(541) 378-1186(541) 391-7220 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wandering Minds Counseling & Consulting, Llc NPPES

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

WANDERING MINDS COUNSELING & CONSULTING, LLC (NPI 1194688556) is a healthcare organization registered as a clinical in Roseburg, Oregon and active in the NPI registry since December 2025. The organization lists Alyssa Davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1194688556
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWANDERING MINDS COUNSELING & CONSULTING, LLC
Location Address727 SE CASS AVE STE 206Roseburg, OR 97470-4953
Mailing Address727 Se Cass Ave Ste 206Roseburg, OR 97470-4953 · (541) 378-1186 · Fax (541) 391-7220
Phone(541) 378-1186
Fax(541) 391-7220
Organization SubpartNo
Authorized OfficialAlyssa DavidsonOwner · (541) 378-1186
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1194688556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
727 SE CASS AVE STE 206, Roseburg, OR 97470
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wandering Minds Counseling & Consulting, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wandering Minds Counseling & Consulting, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alyssa Davidson, LCSW
Clinical Social Worker
NPI 1487223517
545 W UMPQUA ST
Roseburg, OR 97471
(541) 450-9425
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wandering Minds Counseling & Consulting, LLC's NPI number?

The NPI number for Wandering Minds Counseling & Consulting, LLC is 1194688556. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Wandering Minds Counseling & Consulting, LLC located?

Wandering Minds Counseling & Consulting, LLC is located at 727 SE Cass Ave Ste 206, Roseburg, OR 97470. The listed phone number is (541) 378-1186.

What is Wandering Minds Counseling & Consulting, LLC's specialty?

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

Is Wandering Minds Counseling & Consulting, LLC enrolled in Medicare?

Yes. Wandering Minds Counseling & Consulting, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wandering Minds Counseling & Consulting, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wandering Minds Counseling & Consulting, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wandering Minds Counseling & Consulting, LLC accept?

Health plans from Moda Health Plan, Inc. list Wandering Minds Counseling & Consulting, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wandering Minds Counseling & Consulting, LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.