POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC
NPI 1760685176
Counselor in Salem, OR

Active since June 06, 2007
965 LIBERTY ST SE, SALEM, OR 97302(503) 588-2004(503) 588-2415 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Polk Yamhill & Marion Child Treatment Services Inc NPPES

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

POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC (NPI 1760685176), doing business as Poyama Counseling Services, is a healthcare organization registered as a counselor in Salem, Oregon and active in the NPI registry since June 2007. The organization lists Bette Jane M Cox, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760685176
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePOLK YAMHILL & MARION CHILD TREATMENT SERVICES INC
Location Address965 LIBERTY ST SESalem, OR 97302-4138
Mailing Address965 Liberty St SeSalem, OR 97302-4138 · (503) 588-2004 · Fax (503) 588-2415
Fax(503) 588-2415
Organization SubpartNo
Authorized OfficialBette Jane M CoxOffice Manager · (503) 588-2004
Enumeration DateJune 6, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1760685176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Other Names 1

Doing Business AsPoyama Counseling Services

Other Identifiers 1

Medicaid042577OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polk Yamhill & Marion Child Treatment Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20040422000050Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Polk Yamhill & Marion Child Treatment Services Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1740310457
965 LIBERTY STREET SE POYAMA COUNSELING
Salem, OR 97302
(503) 588-2004
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1750431441
965 LIBERTY ST SE
Salem, OR 97302
(503) 588-2004
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1083955629
565 UNION ST NE STE 208C
Salem, OR 97301
(503) 374-4417
✔ PECOS
Clinical Social Worker
NPI 1609348333
5125 SKYLINE RD S
Salem, OR 97306
(503) 588-5993
✔ PECOS✔ Accepts Medicare

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

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 Polk Yamhill & Marion Child Treatment Services Inc's NPI number?

The NPI number for Polk Yamhill & Marion Child Treatment Services Inc is 1760685176. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is doing business as Poyama Counseling Services.

Where is Polk Yamhill & Marion Child Treatment Services Inc located?

Polk Yamhill & Marion Child Treatment Services Inc is located at 965 Liberty St SE, Salem, OR 97302. The listed phone number is (503) 588-2004.

What is Polk Yamhill & Marion Child Treatment Services Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Polk Yamhill & Marion Child Treatment Services Inc enrolled in Medicare?

Yes. Polk Yamhill & Marion Child Treatment Services Inc is registered in the Medicare PECOS enrollment system.

When is Polk Yamhill & Marion Child Treatment Services Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Polk Yamhill & Marion Child Treatment Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Polk Yamhill & Marion Child Treatment Services Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Polk Yamhill & Marion Child Treatment Services Inc accept?

Health plans from Moda Health Plan, Inc. list Polk Yamhill & Marion Child Treatment Services Inc 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 Polk Yamhill & Marion Child Treatment Services Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.