JONATHAN MICHAEL CHAVIS (NPI# 1699131664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699131664 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL CHAVIS |
| Practice Address |
3878 Beverly Ave Ne Bldg H, Ste 5 Salem OR 97305-1394 |
| Practice Telephone | 5033990670 |
| Practice Fax Number | 5033990655 |
| Mailing Telephone | 5033990670 |
| Mailing Fax Number | 5033990655 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3878 BEVERLY AVE NE BLDG H, STE 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 |
| 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 |
| 1689012841 | Lamonica Arlene Bryant | Counselor | 3878 Beverly Ave Ne, Salem, OR 97305-1394 | 2013-06-10 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1154956837 | Bobbie J Dawson | Counselor | 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 | 2020-03-03 |
| 1902457773 | Jorge Arredondo | Counselor | 16 Heritage Dr Apt 15, Salem, MA 01970-2034 | 2019-09-24 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659866911 | Chakra LLC | Counselor | 161 High St Se Ste 209, Salem, OR 97301-3693 | 2018-06-28 |
| 1346731114 | Robert Bathke | Counselor | 525 Ferry St Se Ste 203, Salem, OR 97301-3743 | 2018-05-28 |
| 1316453186 | Melody Sue Nova | Counselor | 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 | 2017-12-15 |
| Find all providers in SALEM | ||||
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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.