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Deactivated NPI 1790325678 Deactivated / Inactive NPI Male Practitioner

Timothy Engle , MA

Counselor - Professional • Salem, OR

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Timothy Engle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2020
NPI Deactivation Date February 12, 2021
Total Practice Duration Record Deactivated

Professional Overview & Biography Verified Profile Summary

Timothy Engle, MA was a registered Counselor - Professional in Salem, OR. Official practice records at 3085 RIVER RD N indicate NPI deactivation as of 2021-02-12.

Timothy Engle was affiliated with Arise Counseling Service Llc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3085 River Rd N

Salem, OR 973036512

Telephone 5413212278
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Salem, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -10.4 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
180 Specialists

Practicing in Salem, OR (2601 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Engle (4 Years) 4 Yrs
Salem Specialty Average (14.4 Years) 14.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C8647

Definition to come...

Hospital & Practice Group Affiliations

Arise Counseling Service Llc

3085 River Rd N, Salem, OR 973036512

Phone: 5413212278

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Qualified Mental Health Professional

Tara Morse

Counselor - Mental Health

NPI 1023902095
Dawn Hansen

Counselor - Mental Health

NPI 1023906609
Jonathan West , MS

Counselor - Mental Health

NPI 1043825409

Master of Science

Haleigh Lopes

Counselor - Mental Health

NPI 1073382180
Ashleigh Buss

Counselor - Mental Health

NPI 1073407359

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
👤
Provider Name / Credentials Updated September 20, 2024

Recorded as TIMOTHY ENGLE, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2024

Counselor (License #C8647 in OR)

📍
Updated Practice Location July 06, 2023

Registered at 3085 RIVER RD N, SALEM, OR 973036512 (Tel: 5413212278)

📍
Updated Business Mailing Address July 06, 2023

Registered at 585 WINTER ST NE APT 606, SALEM, OR 973013886 (Tel: 5037248219)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Counselor (License #R7590 in OR)

📍
Updated Practice Location March 19, 2021

Registered at 821 SAGINAW ST S, SALEM, OR 973024121 (Tel: 5033158646)

📍
Updated Business Mailing Address March 19, 2021

Registered at 16247 SW 146TH AVE, TIGARD, OR 972241374 (Tel: 5038990128)

👤
Provider Name / Credentials Updated March 19, 2021

Recorded as TIM ENGLE, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2021

Counselor

⚠️
NPI Profile Deactivated February 12, 2021

Record deactivated on February 12, 2021

NPI Profile Active January 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2020

Registered at 821 SAGINAW ST S, SALEM, OR 973024121 (Tel: 5033158646)

📍
Updated Business Mailing Address January 08, 2020

Registered at 16247 SW 146TH AVE, TIGARD, OR 972241374 (Tel: 5038990128)

👤
Provider Name / Credentials Updated January 08, 2020

Recorded as TIM ENGLE, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2020

Counselor

🟢
Initial NPI Registration & Enumeration January 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790325678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2020
Last Update: September 20, 2024
Deactivation Date: February 12, 2021
Sole Proprietor: No

Mailing Address

585 Winter St Ne Apt 606

Salem, OR 973013886

Phone: 5037248219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.