JOHN ACKLEY (NPI# 1184068793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811261985 | John Freeland Ackley | Orthopaedic Surgery | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2012-03-06 |
Street Address |
3878 BEVERLY AVE NE BLDG H, SUITE 5 |
City | SALEM |
State | OR |
Zip Code | 97305-1394 |
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 |
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 |
Find all providers in zip 97305 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
Please comment or provide details below to improve the information on JOHN ACKLEY.
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.