Lorretta Costello , PSS
Peer Specialist • Salem, OR
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, Lorretta Costello has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lorretta Costello, PSS was a registered Peer Specialist practicing in Salem, OR. Throughout an active medical career spanning 3 years, Lorretta Costello provided care at the practice location at 2555 SILVERTON RD NE STE B until profile deactivation on 2024-04-10.
Practice Location & Contact Primary Location
2555 Silverton Rd Ne Ste B
Salem, OR 973010837
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Salem, OR
Practicing in Salem, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Peer Specialist
Peer Specialist
Peer Specialist
Peer Specialist
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2024
NPI status registered as active in NPPES database
Registered at 2555 SILVERTON RD NE STE B, SALEM, OR 973010837 (Tel: 5033934273)
Registered at 1115 MADISON ST NE # 222, SALEM, OR 973017862 (Tel: 5033934273)
Recorded as LORRETTA COSTELLO, PSS
Peer Specialist (License #THW000002474 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1115 Madison St Ne # 222
Salem, OR 973017862
Phone: 5033934273
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