- Practice location
- 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198
- Phone
- 503-798-3180
- Fax
- —
- Last updated
- January 24, 2012
Kathy L. Back is a Counselor, Mental Health based in Salem, OR. Kathy L. Back practices in Salem, OR and has the professional credentials of MA, LPC. The NPI Number for Kathy L. Back is 1427351287 and holds a License No. C2766 (OR). The current practice location address for Kathy L. Back is 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198 and can be reached out via phone at 503-798-3180.
Provider Profile Details
- NPI Number
- 1427351287
- Provider Name
- Kathy L. Back
- Credential
- MA, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198
- Phone Number
- 503-798-3180
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 15, 2010
- Last Update Date
- January 24, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2645 Portland RD NE
Suite 120
Salem, OR 97301-0198 - City
- Salem
- State
- Oregon
- Zip
- 97301-0198
- Phone Number
- 503-798-3180
Provider Business Mailing Address Details
- Address
- 2735 Enchanted View Ln SE
Turner, OR 97392-9586 - City
- Turner
- State
- OR
- Zip
- 97392-9586
- Phone Number
- 503-991-2176
License Information
- License Number
- C2766
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kathy L Back, MA, LPC?
The NPI number of Mrs. Kathy L Back, MA, LPC is 1427351287. It was assigned on December 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kathy L Back, MA, LPC?
Mrs. Kathy L Back, MA, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number C2766.
Where does Mrs. Kathy L Back, MA, LPC practice?
The practice location is 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198. The office can be reached at 503-798-3180 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427351287 directly on the NPPES registry website.