PURE LIFE COUNSELING, LLC
NPI 1982489951
Social Worker - Clinical in Salem, OR

Active since August 29, 2023
494 STATE ST STE 270, SALEM, OR 97301(503) 583-2121 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pure Life Counseling, Llc NPPES

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

PURE LIFE COUNSELING, LLC (NPI 1982489951) is a healthcare organization registered as a clinical in Salem, Oregon and active in the NPI registry since August 2023. The organization lists Benjamin Fennimore, Mental Health Clinician, as its authorized official.

NPPES Registry Identity

NPI1982489951
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePURE LIFE COUNSELING, LLC
Location Address494 STATE ST STE 270Salem, OR 97301-3647
Mailing Address2860 Winter St SeSalem, OR 97302-3155 · (503) 428-2948
Organization SubpartNo
Authorized OfficialBenjamin FennimoreMental Health Clinician · (503) 428-2948
Enumeration DateAugust 29, 2023
NPPES CertifiedJuly 5, 2023
NPI 1982489951 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.
494 STATE ST STE 270, Salem, OR 97301

Other Identifiers 2

Medicaid1417567983OR
Medicaid1881094324OR

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

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
494 STATE ST STE 270
SALEM, OR 97301
Counselor (Mental Health)
494 STATE ST STE 270
SALEM, OR 97301
Social Worker (Clinical)
494 STATE ST STE 270
SALEM, OR 97301
Counselor (Mental Health)
494 STATE ST STE 270
SALEM, OR 97301
Clinic/Center (Mental Health (Including Community Mental Health Center))
494 STATE ST STE 270
SALEM, OR 97301
Clinic/Center (Adult Mental Health)
494 STATE ST STE 270
SALEM, OR 97301

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 Pure Life Counseling, LLC's NPI number?

The NPI number for Pure Life Counseling, LLC is 1982489951. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Pure Life Counseling, LLC located?

Pure Life Counseling, LLC is located at 494 State St Ste 270, Salem, OR 97301. The listed phone number is (503) 583-2121.

What is Pure Life Counseling, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pure Life Counseling, LLC was last updated on August 29, 2023. 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.