Active NPI
Emilee Kerper, QMHP
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1255620274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A14958
- Practice address
- 565 Union St NE Ste 200
Salem, OR 97301-2418 - Phone
- (503) 851-7524
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | A14958 | OR | Primary |
Addresses
Primary practice location
565 Union St NE Ste 200
Salem, OR 97301-2418
Mailing address
1098 E St NE
Salem, OR 97301-1227
Phone (503) 851-7524
Other practice location 1
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 851-3171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A14958 | Other | OR | STATE OF OREGON BOARD OF LICENSED SOCIAL WORKERS LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14958 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1255620274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 E ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973011227",
"telephone_number": "503-851-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 UNION ST NE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973012418",
"telephone_number": "503-851-7524"
}
],
"practiceLocations": [
{
"address_1": "821 Saginaw St S",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973024121",
"country_code": "US",
"telephone_number": "503-851-3171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERPER",
"first_name": "EMILEE",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A14958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON BOARD OF LICENSED SOCIAL WORKERS LICENSE NUMBER",
"identifier": "A14958",
"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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.