Organization Active NPI

Valley Professional Counseling Inc

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1063525087
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
279OtherORALCOHOL/OUTPATIENT
028317MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Valley Professional Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.