MRS. MARTHA R WITT (MS, LPC, QMHP) – Professional Counselor, NPI 1750572327
Professional Counselor
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. MARTHA R WITT (MS, LPC, QMHP)
5125 Skyline Rd S
Salem, OR 973069413
Phone: (503) 361-5400
Type: Location
182 SW Academy St
Dallas, OR 973381922
Phone: (503) 623-9289
Fax: (503) 831-1726
Type: Location
182, Southwest Academy Street, Dallas City Limits, Polk County, Oregon, 97338, United States
DALLAS, OR 973381922
Phone: (503) 623-9289
Fax: (503) 831-1726
Type: Location
484, Juedes Avenue North, Keizer, Marion County, Oregon, 97303, United States
KEIZER, OR 973035452
Phone: (971) 707-8074
Type: Mailing
1675 WINTER ST NE
SALEM, OR 973017152
Phone: (503) 585-0351
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: 2024-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240104002202 | I | Mental Health Counselor | OR | TBD |
| I20240226002282 | I | Mental Health Counselor | WA | 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 97306)
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