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KATHLEEN MARY ROOT-BUNTEN QMHP
NPI 1760046858
Counselor - Professional in Salem, OR

Active since April 24, 2019PECOS Enrolled
3085 RIVER RD N, SALEM, OR 97303(541) 321-2278(541) 246-8826 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Nov 22, 2022, Apr 24, 2019 (3 updates tracked since 2019).

About Kathleen Mary Root-bunten Qmhp NPPES

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

KATHLEEN MARY ROOT-BUNTEN QMHP (NPI 1760046858) is an individual professional provider in Salem, Oregon and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760046858
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN MARY ROOT-BUNTENCredential: QMHP
Location Address3085 RIVER RD NSalem, OR 97303-6512
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Phone(541) 321-2278
Fax(541) 246-8826
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1760046858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3085 RIVER RD N, Salem, OR 97303
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Mary Root-bunten Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Root-bunten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arise Counseling Service, LLC. Dba Northlight Counseling
64 mi
Clinical
1075 WASHINGTON ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Arise Counseling Service LLC
  • 42 clinicians in this Medicare group
NPI 1447715834 (541) 321-2278

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

BRIANNE JALAYNE DEYOUNG
Counselor (Professional)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
SHARON LYNN COOPER-BARTH LPC
Counselor (Professional)
3085 RIVER RD N
SALEM, OR 97303
Marion County (413) 212-2785
MISS MONICA DE ANNE DEROSIER QMHP, LCSW
Social Worker (Clinical)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
ASH V SOELLER
Counselor (Mental Health)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
AMANDA N LILLIE CSWA
Social Worker (Clinical)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
JOSSALYNN WRIGHT
Counselor (Mental Health)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
ANGELA NORTON
Counselor (Mental Health)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278
JEFFREY MICHAEL ENDERLE B.S
Counselor (Mental Health)
3085 RIVER RD N
SALEM, OR 97303
Marion County (541) 321-2278

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 Kathleen Root-bunten's NPI number?

The NPI number for Kathleen Root-bunten is 1760046858. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Kathleen Root-bunten located?

Kathleen Root-bunten practices at 3085 River Rd N, Salem, OR 97303. The listed phone number is (541) 321-2278.

What is Kathleen Root-bunten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Root-bunten enrolled in Medicare?

Yes. Kathleen Root-bunten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Root-bunten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Root-bunten reassigns Medicare benefits to Arise Counseling Service, LLC. Dba Northlight Counseling (Eugene, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Root-bunten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Root-bunten accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathleen Root-bunten 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 Kathleen Root-bunten was last updated on August 21, 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.