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MR. DUSTIN BOWERS MA
NPI 1780352096
Counselor - Mental Health in Salem, OR

Active since September 01, 2021Opted out of Medicare · through May 20, 2028
4890 32ND AVE SE, SALEM, OR 97317(503) 588-5647(503) 779-1992 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dustin Bowers Ma NPPES

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

MR. DUSTIN BOWERS MA (NPI 1780352096) is an individual mental health provider in Salem, Oregon and active in the NPI registry since September 2021. He has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1780352096
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DUSTIN BOWERSCredential: MA
Location Address4890 32ND AVE SESalem, OR 97317-9350
Mailing Address4890 32nd Ave SeSalem, OR 97317-9350 · (503) 588-5647 · Fax (503) 779-1992
Phone(503) 588-5647
Fax(503) 779-1992
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1780352096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4890 32ND AVE SE, Salem, OR 97317
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Dustin Bowers Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DELLA M RADKE QMHA
Behavior Analyst
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
ALAN KEITH GUSTAFSON
Community Health Worker
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
CLARA EDMONDS
Counselor (Mental Health)
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
MRS. BETTY L WILLIS MA, LPC
Counselor (Professional)
4890 32ND AVE SE
SALEM, OR 97317
Marion County (504) 371-7393
CODY ALLYN MASK
Community Health Worker
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
MIGUEL GONZALEZ MS,OBLPCT LPC INTERN
Counselor (Mental Health)
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
DARA BENTON
Case Manager/Care Coordinator
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647
KIMBERLY ANNE MARIE BOYD
Case Manager/Care Coordinator
4890 32ND AVE SE
SALEM, OR 97317
Marion County (503) 588-5647

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 Dustin Bowers's NPI number?

The NPI number for Dustin Bowers is 1780352096. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Dustin Bowers located?

Dustin Bowers practices at 4890 32nd Ave SE, Salem, OR 97317. The listed phone number is (503) 588-5647.

What is Dustin Bowers's specialty?

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

Is Dustin Bowers enrolled in Medicare?

No. Dustin Bowers has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dustin Bowers was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.