MR. EDWARD MERRILL KING (NPI# 1376798041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376798041 |
Entity Type | Individual |
Full Name | MR. EDWARD MERRILL KING |
Credential | LMFT |
Practice Address |
1245 Edgewater St Nw Salem OR 97304-4049 |
Practice Telephone | 5035885816 |
Practice Fax Number | 5035885803 |
Mailing Telephone | 5035885816 |
Mailing Fax Number | 5035885803 |
Enumeration Date | 2008-11-22 |
Last Update Date | 2016-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | T0687 | OR | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | MFC32869 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265562854 | Edward Michael King | Counselor | 8 Pearl Ct, Kenner, LA 70065-3109 | 2007-03-06 |
1649249327 | Edward Nicholas King | Physician Assistant | Bldg 4-2817 Bix 281 Fort Bragg, Womack Army Medical Center (wamc), Fayetteville, NC 28310-2614 | 2006-03-16 |
1184612152 | Edward Thomas King | Preventive Medicine | 8941 Entrance Rd A, Bldg 3334, Tinker Afb, OK 73145-3065 | 2005-10-12 |
1205834728 | Edward D King | Urology | 1901 Se 18th Ave, Bldg 300, Ocala, FL 34471-8215 | 2005-07-08 |
1912530890 | Edward King | Emergency Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2020-02-19 |
1659623213 | Edward Cecil King | Social Worker | 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8979 | 2012-10-08 |
1902073000 | Edward King | Registered Nurse | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2008-05-08 |
1780712000 | Edward Cornelius King | Social Worker | 4131 Spicewood Springs Rd, Suite Q-2, Austin, TX 78759-8661 | 2007-02-28 |
1346337326 | Edward Stephen King | Pharmacist | 12301 Snow Rd, Kaiser Permanente Mob Pharmacy, Parma, OH 44130-1002 | 2006-10-09 |
1235220534 | Edward Davey King | Dentist | 5700 Old Richmond Ave, Suite E 22, Richmond, VA 23226-1828 | 2006-09-28 |
Street Address |
1245 EDGEWATER ST NW |
City | SALEM |
State | OR |
Zip Code | 97304-4049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609957356 | Susan Barnes | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2006-10-18 |
1225671910 | Summer Joy Valentine | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-24 |
1346895075 | Anne Elizabeth Wagner | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-08-08 |
1992273718 | Marc R Malone | Psychologist | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-11-09 |
1043704554 | Erin Melissa Cox | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-06-18 |
1386167732 | Julie Marie O'connor | Social Worker | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2017-07-18 |
1366892408 | Miranda Featherstone | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2016-06-20 |
1518334028 | Ryan Matthew Gunter | Physician Assistant | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-09-01 |
1073903977 | Gerardo Jimenez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
1265822167 | Ivan Gutierrez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518512938 | Roseanne Pikul, Lmft, LLC | Marriage & Family Therapist | 880 Liberty St Ne Ste 102, Salem, OR 97301-2450 | 2019-08-02 |
1164870531 | Cynthia Jane Fegles | Marriage & Family Therapist | 880 Liberty St. Ne, Salem, OR 97301 | 2016-05-26 |
1053787267 | Brian J Hamilton | Marriage & Family Therapist | 151 Main St Ste 6c, Salem, NH 03079-3109 | 2015-08-12 |
1821349119 | Michael Elkin | Marriage & Family Therapist | 70 Washington St Suite 322, Salem, MA 01970 | 2012-09-26 |
1306108964 | Jessica Michaela Pechinis | Marriage & Family Therapist | 35 Congress St Ste 2150b, Salem, MA 01970-5529 | 2012-06-11 |
1174825855 | Jill/ Ellen Conrad | Marriage & Family Therapist | 1300 Broadway St. Ne, Ste # 409, Salem, OR 97301-9730 | 2010-12-01 |
1215247705 | David T. Wood | Marriage & Family Therapist | 5061 Liberty Rd S, Suite 130, Salem, OR 97306-2073 | 2010-10-18 |
1932427457 | Dominique L Sotelo | Marriage & Family Therapist | 155 Liberty St Ne Ste 370, Salem, OR 97301-3552 | 2010-05-07 |
1427295120 | Scot B Sternberg | Marriage & Family Therapist | 70 Washington St Ste 320, Salem, MA 01970-3520 | 2009-01-16 |
1114173283 | Lora Wilson Goodenough | Marriage & Family Therapist | 495 State St Ste 301, Salem, OR 97301-3757 | 2008-08-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.