Dynamic Self Recovery - Medicare Mental Health Clinic in Albany, OR

Dynamic Self Recovery is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Albany, Oregon. The current practice location for Dynamic Self Recovery is 1010 11th Ave Sw, Albany, Oregon. For appointments, you can reach them via phone at (541) 829-1199. The mailing address for Dynamic Self Recovery is 1010 11th Ave Sw, Albany, Oregon and phone number is (541) 791-7193.

Dynamic Self Recovery is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083205298. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 829-1199.

Contact Information

Dynamic Self Recovery
1010 11th Ave Sw
Albany
OR 97321-2019
(541) 829-1199
(833) 770-4969

Map and Direction


Mental Health Clinic Profile

Full NameDynamic Self Recovery
SpecialityClinic/Center
Location1010 11th Ave Sw, Albany, Oregon
Authorized Official Name and PositionCarol Ann Mccollum (SUPERVISOR)
Authorized Official Contact5416212698
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dynamic Self Recovery
1010 11th Ave Sw
Albany
OR 97321-2019

Ph: (541) 791-7193
Dynamic Self Recovery
1010 11th Ave Sw
Albany
OR 97321-2019

Ph: (541) 829-1199

NPI Details:

NPI Number1083205298
Provider Enumeration Date01/30/2021
Last Update Date01/05/2024
Certification Date12/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6608226105
Medicare Enrollment IDO20231226000854

Medical Identifiers

Medical identifiers for Dynamic Self Recovery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083205298NPI-NPPES
500722423MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dynamic Self Recovery acts as a billing entity for following providers:
Provider NameSarah J Soric
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093176208
PECOS PAC ID: 4789011917
Enrollment ID: I20200227000786
Provider NameSonya F James
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386318863
PECOS PAC ID: 4284004144
Enrollment ID: I20230110002749
Provider NameSarah M Pruitt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437610565
PECOS PAC ID: 3779958509
Enrollment ID: I20230410002067
Provider NameJaclyn Salcido Giles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790145928
PECOS PAC ID: 1052786720
Enrollment ID: I20230411001565

Reviews and Comments

Clinic/Center in Albany, OR

Samaritan Mental Health- Albany
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1052 29th Avenue Sw, Albany, OR 97321
Phone: 541-812-5060    Fax: 541-926-7234
New Hope Counseling Of Albany
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1273 Nw West Thornton Lake Dr Nw, Albany, OR 97321
Phone: 541-760-2197    
Reclaim Life, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 425 2nd Ave Sw Ste 102, Albany, OR 97321
Phone: 541-286-3209    Fax: 541-704-0040
County Of Linn
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 4th Ave Sw, Albany, OR 97321
Phone: 541-967-3819    Fax: 541-967-7259
Recovery First Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 506 Ferry St Sw, Albany, OR 97321
Phone: 541-204-1818    
Mosaic Psychological, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 425 2nd Ave Sw Ste 204, Albany, OR 97321
Phone: 541-248-9153    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.