ICARUS COUNSELING INC – Counselor, NPI 1861576340

ICARUS COUNSELING INC is a healthcare provider. based in Salem, Oregon. specializing in Counselor. The organization holds a License No. L0280 (OR). The NPI Number for ICARUS COUNSELING INC is 1861576340

Main info

Organization
Name
ICARUS COUNSELING INC
NPI
1861576340
Phone
(503) 581-7550
Address
161 HIGH ST SE STE 204
Authorized Official
MR. ANTHONY GAGLIARDO OWNER THERAPIST LCSW
Enumeration Date
24 October 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ICARUS COUNSELING INC

  • 161 HIGH ST SE STE 204

    SALEM, OR 973013610

    Phone: (503) 581-7550

    Fax: (503) 581-7550

    Mailing address matches the actual address.

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: 2004-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (312 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040225001147OClinic/Group PracticeOR2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 97301)

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Reviews

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Frequently asked questions

What is the standard ID for ICARUS COUNSELING INC in the U.S.?
In the U.S., ICARUS COUNSELING INC is identified by NPI 1861576340.
Is ICARUS COUNSELING INC's NPI status active today?
Active status means ICARUS COUNSELING INC's NPI record is not deactivated in the public file.
Which specialty label fits ICARUS COUNSELING INC?
NPPES ties ICARUS COUNSELING INC to Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ICARUS COUNSELING INC?
ICARUS COUNSELING INC shows a connection to Salem, Oregon in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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