CENTER FOR ADDICTION AND COUNSELING SERVCIES LLC (NPI# 1609005065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609005065 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ADDICTION AND COUNSELING SERVCIES LLC |
| Practice Address |
460 Lancaster Dr Ne Salem OR 97301-4728 |
| Mailing Address |
4670 Commercial St Se # 3 Salem OR 97302-1902 |
| Practice Telephone | 5035841906 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | CHRIS DEAN (DIRECTOR) |
| Authorized Official Telephone | 5035841906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
460 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716846 | Megan Crawford | Counselor | 460 Lancaster Dr Ne, Salem, OR 97301 | 2018-07-05 |
| 1730590381 | Timothy Zirkle | Counselor | 460 Lancaster Dr Ne, Salem, OR 97301-4728 | 2014-05-16 |
| 1851520217 | Kim Shay | Counselor | 460 Lancaster Dr Ne, Salem, OR 97301-4728 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| 1578528915 | Pacific Recovery Inc | Clinic/Center | 1235 Woodrow Ne, Salem, OR 97303 | 2006-04-19 |
| 1710462981 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2018-10-03 |
| 1396251229 | Crossroads Recovery Center | Clinic/Center | 155 Main St, Salem, NH 03079-3196 | 2017-12-14 |
| 1013363910 | Jd Health and Wellness Center | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-05-10 |
| 1104163658 | Services To Overcome Drug Abuse Among Teenagers | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940298 | New Start Program | Clinic/Center | 12180 Se Market St, Portland, OR 97216-3923 | 2020-01-03 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1518419779 | Bend Iop | Clinic/Center | 20354 Empire Ave, Bend, OR 97703-5710 | 2016-11-03 |
| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
| 1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
| 1194150326 | Goforth Inspired LLC | Clinic/Center | 345 Ne Baker Creek Rd, Mcminnville, OR 97128-2019 | 2013-09-06 |
| 1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1427109222 | Crc Health Oregon | Clinic/Center | 885 Sw 30th St, Ontario, OR 97914-4626 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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| 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.