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AUTUMN LEAF THERAPEUTIC SERVICES
NPI 1689209371
Community/Behavioral Health in Salem, OR

Active since March 03, 2020
3857 WOLVERINE ST NE STE 6, SALEM, OR 97305(503) 856-6430(503) 877-1920 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Leaf Therapeutic Services NPPES

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

AUTUMN LEAF THERAPEUTIC SERVICES (NPI 1689209371) is a healthcare organization registered as a community/behavioral health in Salem, Oregon and active in the NPI registry since March 2020. The organization lists Carilyn Claire Ellis, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1689209371
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAUTUMN LEAF THERAPEUTIC SERVICES
Location Address3857 WOLVERINE ST NE STE 6Salem, OR 97305-4274
Mailing Address3857 Wolverine St Ne Ste 6Salem, OR 97305-4274 · (503) 856-6430 · Fax (503) 877-1920
Phone(503) 856-6430
Fax(503) 877-1920
Organization SubpartNo
Authorized OfficialCarilyn Claire EllisPsychologist/owner · (503) 856-6430
Enumeration DateMarch 3, 2020
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1689209371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedPsychologistTaxonomy 103T00000X
3857 WOLVERINE ST NE STE 6, Salem, OR 97305
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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

Other Providers at the Same Location NPPES

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

CARILYN CLAIRE ELLIS PSYD, MSCP
Psychologist
3857 WOLVERINE ST NE STE 6
SALEM, OR 97305
Marion County (503) 856-6430

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 Autumn Leaf Therapeutic Services's NPI number?

The NPI number for Autumn Leaf Therapeutic Services is 1689209371. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Autumn Leaf Therapeutic Services located?

Autumn Leaf Therapeutic Services is located at 3857 Wolverine St NE Ste 6, Salem, OR 97305. The listed phone number is (503) 856-6430.

What is Autumn Leaf Therapeutic Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Autumn Leaf Therapeutic Services was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.