Active NPI
Kevin Omar Courtney-Vera
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1053225839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 565 Union St NE Ste 205
Salem, OR 97301-2418 - Phone
- (503) 991-5522
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
565 Union St NE Ste 205
Salem, OR 97301-2418
Mailing address
1848 Meridian Dr
Woodburn, OR 97071-7735
Phone (971) 353-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1053225839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 MERIDIAN DR",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970717735",
"telephone_number": "971-353-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 UNION ST NE STE 205",
"city": "SALEM",
"state": "OR",
"postal_code": "973012418",
"telephone_number": "503-991-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY-VERA",
"first_name": "KEVIN",
"middle_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.