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VIRIDIANA PENALOZA
NPI 1699247403
Counselor - Mental Health in Gold Beach, OR

Active since December 19, 2018
29413 RUSSELL ST, GOLD BEACH, OR 97444(541) 247-6566(541) 247-6549 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2020, Dec 19, 2018 (2 updates tracked since 2018).

About Viridiana Penaloza NPPES

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

VIRIDIANA PENALOZA (NPI 1699247403) is an individual mental health provider in Gold Beach, Oregon and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1699247403
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVIRIDIANA PENALOZA
Location Address29413 RUSSELL STGold Beach, OR 97444-7748
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 247-6566
Fax(541) 247-6549
Sole ProprietorNo
Enumeration DateDecember 19, 2018
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
✔ NPI 1699247403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
29413 RUSSELL ST, Gold Beach, OR 97444
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Other Providers at the Same Location NPPES 20

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

ERIC TENGREN
Case Manager/Care Coordinator
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
ASHLEY HAWKINS
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
LOIS SHIPLEY
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
KELSEY TAYLOR
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
DAVID STEPHAN KEITEL
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
JEANETTE BLACK
Case Management
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
CHRISTEN JAMSA
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566
MARSHALL PATTERSON
Counselor (Mental Health)
29413 RUSSELL ST
GOLD BEACH, OR 97444
Curry County (541) 247-6566

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 Viridiana Penaloza's NPI number?

The NPI number for Viridiana Penaloza is 1699247403. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Viridiana Penaloza located?

Viridiana Penaloza practices at 29413 Russell St, Gold Beach, OR 97444. The listed phone number is (541) 247-6566.

What is Viridiana Penaloza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Viridiana Penaloza was last updated on April 15, 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.