Tabula Rasa Wellness LLC
NPI 1205300837ActiveOrganization· Social Worker, Clinical· Salem, OR
Social Worker, Clinical in Salem, Oregon, registered in NPPES in January 2019. The authorized official on file is Lindsay Crowner, LCSW, Owner/Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205300837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2019 |
| Last updated in NPPES | Jan 31, 2021 |
| Certified by provider | Jan 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor | 101Y00000X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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