CENTER FOR ADDICTION AND COUNSELING SERVICES, LL (NPI# 1740410224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740410224 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ADDICTION AND COUNSELING SERVICES, LL |
| Practice Address |
460 Lancaster Dr. Ne Salem OR 97301 |
| Practice Telephone | 5035841906 |
| Practice Fax Number | 5035841952 |
| Mailing Telephone | 5035841906 |
| Mailing Fax Number | 5035841952 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | KIMBERLY ALISON SHAY (DIRECTOR) |
| Authorized Official Telephone | 5035841906 |
| Authorized Official Credential | MS, LPC, NCC, CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | C0492 | OR | Agencies |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CO492 | OR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CO492 | OR | Behavioral Health & Social Service Providers |
| Street Address |
460 LANCASTER DR. NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| 1003426800 | Bethany Grace Lee | Counselor | 508 E Main St Ste 500, Salem, VA 24153-4325 | 2020-08-06 |
| 1225655848 | Shannon Roosma | Counselor | 2212 Mulberry St, Salem, VA 24153-6013 | 2020-06-30 |
| 1013489707 | Stephen Todd Rohrbeck | Counselor | 4060 Macleay Rd Se Ste A, Salem, OR 97317-5801 | 2018-12-19 |
| 1346718467 | Claire Jones | Counselor | 355 High St Se Ste 2, Salem, OR 97301-3613 | 2018-11-06 |
| 1851873319 | James Joseph Briggs | Counselor | 930 25th St Se, Salem, OR 97301-5045 | 2018-08-31 |
| 1487146403 | Lugenia Small | Counselor | 4 Eakin St Ste 4a, Salem, NJ 08079-1704 | 2018-06-05 |
| 1588165807 | Cassie Fort | Counselor | 4532 Poinsettia St Ne, Salem, OR 97305-9500 | 2018-02-22 |
| 1336688654 | Carilee Ball | Counselor | 838 County Road 3233, Salem, MO 65560-0473 | 2017-02-20 |
| 1174972640 | Nina Marie Perard | Counselor | 2095 Robins Ln Se, Apt 232, Salem, OR 97306-2766 | 2016-06-06 |
| 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.