DANA SPADE (MA, LPC) – Professional Counselor, NPI 1790234078
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,181 MENTAL HEALTH COUNSELOR in OR
Provider Addresses for DANA SPADE (MA, LPC)
104 4th Ave SW
Room 238
Albany, OR 973212804
Phone: (541) 967-3819
Fax: (541) 967-7259
Type: Location
4720 River Rd N
Keizer, OR 973034536
Phone: (503) 567-2365
Fax: (503) 390-1296
Type: Location
Saint Peter Armenian Apostolic Church, 100, Troy Schenectady Road, Town of Colonie, Albany County, New York, 12189, United States
ALBANY, OR 973210031
Phone: (541) 967-3819
Fax: (541) 967-7259
Type: Mailing
104, 4th Avenue Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States
ROOM 238
ALBANY, OR 973212804
Phone: (541) 967-3819
Fax: (541) 967-7259
Type: Location
7515 FALCON CREST DR # 200
REDMOND, OR 977565014
Phone: (541) 904-5216
Fax: (541) 527-4347
Type: Mailing
1310 MERIDIAN DR
WOODBURN, OR 970719668
Phone: (503) 953-0310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241211002324 | I | Mental Health Counselor | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97321)
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