Active NPI
John Haynes, CADC-R
- Counselor
- Salem, OR
National Provider Identifier
1316829823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- T-24-3872
- Practice address
- 3710 Portland Rd NE
Salem, OR 97301-0312 - Phone
- (971) 703-4623
- NPI assigned
- Jul 24, 2025
- Last updated
- Jul 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | T-24-3872 | OR | Primary |
Addresses
Primary practice location
3710 Portland Rd NE
Salem, OR 97301-0312
Mailing address
3710 Portland Rd NE
Salem, OR 97301-0312
Phone (971) 703-4623
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 |
|---|---|---|---|
| T-24-3872 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1316829823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 PORTLAND RD NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010312",
"telephone_number": "971-703-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 PORTLAND RD NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010312",
"telephone_number": "971-703-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "JOHN",
"credential": "CADC-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "T-24-3872",
"primary": true
}
],
"identifiers": [],
"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 Jul 24, 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.