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TANYA FOUNTAIN LLC
NPI 1942025598
Social Worker - Clinical in Salem, OR

Active since November 19, 2024
780 COMMERCIAL ST SE STE 201, SALEM, OR 97301(971) 599-3881(503) 300-2848 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tanya Fountain Llc NPPES

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

TANYA FOUNTAIN LLC (NPI 1942025598) is a healthcare organization registered as a clinical in Salem, Oregon and active in the NPI registry since November 2024. The organization lists Tanya Fountain, Clinical Social Worker/ Therapist, as its authorized official.

NPPES Registry Identity

NPI1942025598
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTANYA FOUNTAIN LLC
Location Address780 COMMERCIAL ST SE STE 201Salem, OR 97301-3463
Mailing Address780 Commercial St Se Ste 201Salem, OR 97301-3463 · (971) 599-3881 · Fax (503) 300-2848
Phone(971) 599-3881
Fax(503) 300-2848
Organization SubpartNo
Authorized OfficialTanya FountainClinical Social Worker/ Therapist · (971) 599-3881
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1942025598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
780 COMMERCIAL ST SE STE 201, Salem, OR 97301
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanya Fountain Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tanya Fountain LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tanya Fountain
Clinical Social Worker
NPI 1235338559
780 COMMERCIAL ST SE STE 201
Salem, OR 97301
(971) 599-3881
✔ PECOS✔ Accepts MedicareSame address

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 Tanya Fountain LLC's NPI number?

The NPI number for Tanya Fountain LLC is 1942025598. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Tanya Fountain LLC located?

Tanya Fountain LLC is located at 780 Commercial St SE Ste 201, Salem, OR 97301. The listed phone number is (971) 599-3881.

What is Tanya Fountain LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tanya Fountain LLC enrolled in Medicare?

Yes. Tanya Fountain LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanya Fountain LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tanya Fountain LLC. 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.

When was this NPI record last updated?

The NPPES record for Tanya Fountain LLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.