Active NPI
Valley Professional Counseling Inc
- Community/Behavioral Health Agency
- Salem, OR
National Provider Identifier
1063525087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- VALLEY PROFESSIONAL COUNSELING INC
- Practice address
- 750 Hawthorne Ave NE
Salem, OR 97301-4675 - Phone
- (503) 370-9200
- Fax
- (503) 370-9210
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Samuel Davis, MSW, CSWA, CADC
- Title
- Director
- Phone
- (503) 370-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 279 | OR | |
| Community/Behavioral Health Agency | 251S00000X | OR | Primary |
Addresses
Primary practice location
750 Hawthorne Ave NE
Salem, OR 97301-4675
Mailing address
750 Hawthorne Ave NE
Salem, OR 97301-4675
Phone (503) 370-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279 | Other | OR | ALCOHOL/OUTPATIENT |
| 028317 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Professional Counseling Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Salem, OR
- NPI 1255584538
Locations
750 Hawthorne Ave NE
Salem, OR 97301
Phone (503) 370-9200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1063525087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HAWTHORNE AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014675",
"telephone_number": "503-370-9200",
"fax_number": "503-370-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HAWTHORNE AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014675",
"telephone_number": "503-370-9200",
"fax_number": "503-370-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PROFESSIONAL COUNSELING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-370-9200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, CSWA, CADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "279",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALCOHOL/OUTPATIENT",
"identifier": "279",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028317",
"state": "OR"
}
],
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.