Valley Professional Counseling, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CO492 Issued in OR

Legal business name

VALLEY PROFESSIONAL COUNSELING, INC.

Practice address

742 Hawthorne Ave NE
Salem, OR 97301-4675

Phone

(503) 370-9200

Fax

(503) 370-9210

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Eric Davis, MSW, CADC III, MAC

Title

Program Director

Phone

(503) 370-9200

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Valley Professional Counseling Inc

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1063525087
  NPD tax ID

Locations

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1255584538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 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": "742 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": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "503-370-9200",
        "authorized_official_credential": "MSW, CADC III, MAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "CO492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028317",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abel Valdez, B.A.
• Tanya Rayli Valentino, BCBA
• Valerie Coon MD LLC
• Valley Counseling Associates
• Valley Professional Counseling Inc
• Valora Group Homes LLC
• Erin Jo Van Der Veen, MA, LPC
• Ann Van Dreal, PSS
• Roberta Helen Van Dyke, WHCNP
• Kristopher Van Huss

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.