TANYA ROSE FOUNTAIN
NPI 1235338559
Social Worker - Clinical in Salem, OR

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
780 COMMERCIAL ST SE STE 201, SALEM, OR 97301(971) 599-3881(503) 300-2848 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2022, Nov 8, 2021, May 27, 2020 (3 updates tracked since 2020).

About Tanya Rose Fountain NPPES

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

TANYA ROSE FOUNTAIN (NPI 1235338559) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L11657) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235338559
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA ROSE FOUNTAIN
Location Address780 COMMERCIAL ST SE STE 201Salem, OR 97301-3463
Mailing Address780 Commercial St Se Ste 201Salem, OR 97301-3463 · (971) 599-3881
Fax(503) 300-2848
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 16, 2007
Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
NPI 1235338559 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 · L11657
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.

780 COMMERCIAL ST SE STE 201, Salem, OR 97301

Secondary Practice Location 1

Location 1821 Saginaw St SSalem, OR 97302-4121 · Phone (503) 315-8646

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanya Rose Fountain is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810434768
PECOS Enrollment IDI20240808004274
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 8

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

Counselor (Professional)
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Social Worker (Clinical)
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Counselor (Mental Health)
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Social Worker
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Community/Behavioral Health
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Social Worker (Clinical)
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Social Worker (Clinical)
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301
Community/Behavioral Health
780 COMMERCIAL ST SE STE 201
SALEM, OR 97301

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 Tanya Fountain's NPI number?

The NPI number for Tanya Fountain is 1235338559. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Tanya Fountain located?

Tanya Fountain practices at 780 Commercial St SE Ste 201, Salem, OR 97301. The listed phone number is (971) 599-3881.

What is Tanya Fountain's specialty?

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

Is Tanya Fountain enrolled in Medicare?

Yes. Tanya Fountain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanya Fountain accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tanya Fountain 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 Tanya Fountain was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.