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Autumn Leaf Therapeutic Services

Community/Behavioral Health Agency in Salem, OR · enumerated 2020 · authorized official Carilyn Ellis, Psychologist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689209371

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Registry record

Entity type Organization (Type 2)
Legal business name Autumn Leaf Therapeutic Services
Practice address 3857 Wolverine St Ne Ste 6, Salem, OR, 97305
Fax (503) 877-1920
Enumeration date Mar 3, 2020
Last updated in NPPES Mar 5, 2020

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Carilyn Ellis
Title Psychologist/Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-05. Verify at npiregistry.cms.hhs.gov.
Where is Autumn Leaf Therapeutic Services located?
The practice location on file with NPPES is in Salem, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-05.