Provider Demographics
NPI:1831994060
Name:ROMINE, ERIKA PAT (MFT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:PAT
Last Name:ROMINE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:LANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1263 JENNY CT S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-2415
Mailing Address - Country:US
Mailing Address - Phone:541-729-8450
Mailing Address - Fax:
Practice Address - Street 1:1255 BROADWAY ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-7318
Practice Address - Country:US
Practice Address - Phone:503-585-6232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
106H00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist