COMMUNITY ROOTS COUNSELING, LLC - NPI 1417567983

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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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

Phone(503) 583-2121

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

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Other Identifiers 1

Medicaid500688776OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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.

MR. JES DIMAS LCSW, LICSW, LSSW

Social Worker (Clinical)