COMMUNITY ROOTS COUNSELING, LLC
NPI 1417567983
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salem, OR

Active since August 08, 2020
494 STATE ST STE 270, SALEM, OR 97301(503) 583-2121(855) 855-4872 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Apr 6, 2021, Aug 8, 2020 (3 updates tracked since 2020).

About Community Roots Counseling, Llc NPPES

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

COMMUNITY ROOTS COUNSELING, LLC (NPI 1417567983) is a healthcare organization registered as a mental health (including community mental health center) in Salem, Oregon and active in the NPI registry since August 2020. The organization lists Jes Dimas, Therapist And Founder, as its authorized official.

NPPES Registry Identity

NPI1417567983
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY ROOTS COUNSELING, LLC
Location Address494 STATE ST STE 270Salem, OR 97301-3647
Mailing AddressPo Box 5312Salem, OR 97304-0312 · (503) 583-2121 · Fax (855) 855-4872
Fax(855) 855-4872
Organization SubpartNo
Authorized OfficialJes DimasTherapist And Founder · (503) 583-2121
Enumeration DateAugust 8, 2020
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
NPI 1417567983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
494 STATE ST STE 270, Salem, OR 97301

Other Identifiers 1

Medicaid500688776OR

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
494 STATE ST STE 270
SALEM, OR 97301
Counselor (Mental Health)
494 STATE ST STE 270
SALEM, OR 97301
Social Worker (Clinical)
494 STATE ST STE 270
SALEM, OR 97301
Counselor (Mental Health)
494 STATE ST STE 270
SALEM, OR 97301
Clinic/Center (Adult Mental Health)
494 STATE ST STE 270
SALEM, OR 97301
Social Worker (Clinical)
494 STATE ST STE 270
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 Community Roots Counseling, LLC's NPI number?

The NPI number for Community Roots Counseling, LLC is 1417567983. It was assigned to this organization in the NPPES registry on August 8, 2020.

Where is Community Roots Counseling, LLC located?

Community Roots Counseling, LLC is located at 494 State St Ste 270, Salem, OR 97301. The listed phone number is (503) 583-2121.

What is Community Roots Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Community Roots Counseling, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Community Roots Counseling, 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 Community Roots Counseling, LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.