MEDICARE: WHOLEHEARTED COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932933553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLEHEARTED COUNSELING LLC

Provider Business Mailing Address
First Line	:	960 LIBERTY ST SE STE 100
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4165
Country	:	US
Telephone Number	:	541-829-0592
Fax Number	:	541-543-2238

Provider Business Practice Location Address
First Line	:	960 LIBERTY ST SE STE 100
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4165
Country	:	US
Telephone Number	:	503-343-5693
Fax Number	:	541-543-2238

Authorized Official
Title or Position	:	FOUNDER/LPC
Name	:	KAREN HAAG
Credential	:	MA, LPC
Telephone Number	:	541-829-0592

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	02/13/2026

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Directions to “WHOLEHEARTED COUNSELING LLC ” Practice Location

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