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NW MIND-BODY WELLNESS, LLC
NPI 1467969220
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since January 02, 2018CLIA 38D2210227 · Waiver
945 COLUMBIA ST NE, SALEM, OR 97301(503) 707-1950(855) 461-3306 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Jun 11, 2019, Jun 16, 2018 (3 updates tracked since 2018).

About Nw Mind-body Wellness, Llc NPPES

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

NW MIND-BODY WELLNESS, LLC (NPI 1467969220) is a healthcare organization registered as a psychiatric/mental health in Salem, Oregon and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Rebecca Dorsey, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1467969220
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNW MIND-BODY WELLNESS, LLC
Location Address945 COLUMBIA ST NESalem, OR 97301-7205
Mailing Address945 Columbia St NeSalem, OR 97301-7205 · (503) 707-1950 · Fax (855) 461-3306
Phone(503) 707-1950
Fax(855) 461-3306
Organization SubpartNo
Authorized OfficialRebecca DorseyOwner / Provider · (503) 707-1950
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1467969220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201406327NP-PP
945 COLUMBIA ST NE, Salem, OR 97301
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2210227

NW Mind-Body Wellness · Salem, OR
Active · expires Jan 19, 2027
CLIA Number38D2210227
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorDorsey Rebecca
Laboratory Phone(503) 707-1950
Laboratory LocationNW Mind-Body Wellness945 Columbia Street NE, Salem, OR 97301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SHANNON LA DOUCE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
945 COLUMBIA ST NE
SALEM, OR 97301
Marion County (503) 707-1950
SHAUNA ANN ALLOWAY LCSW
Counselor (Mental Health)
945 COLUMBIA ST NE
SALEM, OR 97301
Marion County (503) 707-1950
SARA HATHAWAY FLETCHER DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
945 COLUMBIA ST NE
SALEM, OR 97301
Marion County (503) 707-1950
REBECCA DORSEY PMHNP, FNP, ENP
Nurse Practitioner (Psychiatric/Mental Health)
945 COLUMBIA ST NE
SALEM, OR 97301
Marion County (503) 707-1950

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 NW Mind-Body Wellness, LLC's NPI number?

The NPI number for NW Mind-Body Wellness, LLC is 1467969220. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is NW Mind-Body Wellness, LLC located?

NW Mind-Body Wellness, LLC is located at 945 Columbia St NE, Salem, OR 97301. The listed phone number is (503) 707-1950.

What is NW Mind-Body Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does NW Mind-Body Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2210227) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does NW Mind-Body Wellness, LLC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list NW Mind-Body Wellness, 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 NW Mind-Body Wellness, LLC was last updated on July 30, 2024. 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.