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Danielle L Berry , CRM

Peer Specialist β€’ Dallas, OR

Active NPI 1982466181 Individual Practitioner Female Practitioner
Practice location in NPPES

182 Sw Academy St
Dallas, OR 973381996

Call 5036239289 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

182 Sw Academy St

Dallas, OR 973381996

Telephone 5036239289
Organization at the Same NPPES Address or Phone
Polk County Mental Health Facility NPI 1154447068

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dallas and Oregon

22 active clinicians are listed under Peer Specialist with a practice address in Dallas, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Anthony Koch , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1821676669

Psychiatric-Mental Health Nurse Practitioner

Hannah Rose , LCSW

Counselor - Mental Health

NPI 1194261552

Licensed Clinical Social Worker

Chad Sawyer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497989669

Psychiatric-Mental Health Nurse Practitioner

Dr. Alfredo Soto , MD

Psychiatry & Neurology - Psychiatry

NPI 1841308632

Doctor of Medicine (M.D.)

Kirsten Teixeira , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023531126

Psychiatric-Mental Health Nurse Practitioner

Reva Vrana , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1932546447

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 08, 2024

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

πŸ“
Updated Business Mailing Address May 08, 2024

Registered at 860 JEFFERSON ST NE, SALEM, OR 973017177 (Tel: 9713887336)

βœ…
NPI Profile Active January 24, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 24, 2024

Registered at 1118 OAK ST SE, SALEM, OR 973014019 (Tel: 5035854949)

πŸ“
Business Mailing Address (Initial Record) January 24, 2024

Registered at 1118 OAK ST SE, SALEM, OR 973014019 (Tel: 5035854949)

πŸ‘€
Provider Name / Credentials (Initial Record) January 24, 2024

Recorded as DANIELLE BERRY, CRM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

Peer Specialist

🟒
Initial NPI Registration & Enumeration January 24, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982466181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2024
Last Update: May 08, 2024
Sole Proprietor: Yes

Mailing Address

860 Jefferson St Ne

Salem, OR 973017177

Phone: 9713887336

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.