JOHN ACKLEY


Address: 3878 Beverly Ave Ne, Bldg H, Suite 5, Salem, OR 97305-1394
Phone: 5033990670

JOHN ACKLEY (NPI# 1184068793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184068793
Entity Type Individual
Full Name JOHN ACKLEY
Credential CADC II, CGAC I,QMHA
Practice Address 3878 Beverly Ave Ne
Bldg H, Suite 5
Salem
OR 97305-1394
Practice Telephone 5033990670
Practice Fax Number 5033990655
Mailing Telephone 5033990670
Mailing Fax Number 5033990655
Enumeration Date 2013-04-25
Last Update Date 2016-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor G 16-04-01 OR Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
12-06-75U OR Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
OR Behavioral Health & Social Service Providers

Other Providers JOHN ACKLEY

NPI Name Taxonomy Address Enumeration
1811261985 John Freeland Ackley Orthopaedic Surgery 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 2012-03-06

Office Location

Street Address 3878 BEVERLY AVE NE
BLDG H, SUITE 5
City SALEM
State OR
Zip Code 97305-1394

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448231 Christine Robinette Social Worker 3878 Beverly Ave Ne, #1, Salem, OR 97305-1394 2005-12-15
1952889081 Jesse Adame Case Manager/Care Coordinator 3878 Beverly Ave Ne, Salem, OR 97305-1394 2018-07-31
1457894552 Dwayne Graves Counselor 3878 Beverly Ave Ne, Building H Suite 5, Salem, OR 97305-1394 2016-11-22
1699131664 Jonathan Michael Chavis Counselor 3878 Beverly Ave Ne, Bldg H, Ste 5, Salem, OR 97305-1394 2016-01-06
1508242736 Jonathan Chrystal Counselor 3878 Beverly Ave Ne, H Suite 11, Salem, OR 97305-1394 2015-08-11
1164810560 Wendy Lee Patzke Counselor 3878 Beverly Ave Ne, Salem, OR 97305-1394 2015-01-07
1730586686 Lucy Eileen Daumen Student in an Organized Health Care Education/Training Program 3878 Beverly Ave Ne, Building H., Salem, OR 97305-1394 2014-11-20
1336545342 Melinda Rossow Social Worker 3878 Beverly Ave Ne, Bldg H, Suite 11, Salem, OR 97305-1394 2014-11-18
1053716498 Elinor Taylor Counselor 3878 Beverly Ave Ne, Suite H, Salem, OR 97305-1394 2014-10-28
1528483641 Rosemary Guild Community Health Worker 3878 Beverly Ave Ne, Bldg. H Suite 11, Salem, OR 97305-1394 2014-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043824956 Olivia Mandracchia Counselor 43 Bridge St Unit 2, Salem, MA 01970-4124 2020-09-08
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1821629569 Kristin Cordy Counselor 1 Orchard Ter, Salem, MA 01970-2406 2020-01-31
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1124507330 Bright Leaf Counseling and Wellness Center, LLC Counselor 25 E Main St Ste C, Salem, VA 24153-3806 2018-08-08
1063905966 Katilyn Dalton-wise Counselor 18 Ward St # 1, Salem, MA 01970-5025 2018-06-14
1487144986 Effective Foundations Counseling and Consultation Services Counselor 280 Court St Ne Ste 205, Salem, OR 97301-3443 2018-05-10
1699282913 Williams English Counselor 35 Congress St Ste 2, Salem, MA 01970-5567 2018-01-08
1235678053 Douglas Mariano Counselor 198 Lafayette St. Apt 2, Salem, MA 01970-4735 2017-02-13
1609328269 Margaret Lilley Counselor 40 Mason St, Unit 4, Salem, MA 01970 2016-10-31
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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