Willamette Valley Treatment Center, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

OR10-036M Issued in OR

Legal business name

WILLAMETTE VALLEY TREATMENT CENTER, INC.

Practice address

115 Lancaster Dr NE
Salem, OR 97301-5110

Phone

(503) 391-9762

Fax

(503) 315-2019

NPI assigned

Aug 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jay M Lawshe, LPN/CADCII/NCACIINPI 1245286194

Title

Executive Program Director/Sponsor

Phone

(503) 391-9762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay M Lawshe, CADCII, NCACII

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
  • NPI 1245286194
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205944204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015110",
            "telephone_number": "503-391-9762",
            "fax_number": "503-315-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015110",
            "telephone_number": "503-391-9762",
            "fax_number": "503-315-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSHE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM DIRECTOR/SPONSOR",
        "authorized_official_telephone_number": "503-391-9762",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN/CADCII/NCACII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "OR10-036M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227068",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willamette Valley Oral & Maxillofacial Surgery, Inc
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• Willamette Valley Psychological Services LLC
• Willamette Valley Radiology
• Willamette Valley Treatment Center
• Willamette Valley Wellness LLC
• Willamette Vascular Specialists, PC
• Willamette Vision Center Inc (Family Focus Vision Source)
• Andrea Willems
• Melissa Willhoft, CADCII MSW

• Addiction (Substance Use Disorder) Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.