Organization Active NPI

Haider Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
National Provider Identifier
1316879604
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HAIDER THERAPY LLC
Practice address
223 Commercial St NE Ste 206
Salem, OR 97301-4078
Phone
(503) 580-0291
Fax
(503) 583-2952
NPI assigned
Jun 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Mrs. Kelly Anne Haider, LPCNPI 1528515434
Title
Owner
Phone
(503) 580-0291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

223 Commercial St NE Ste 206
Salem, OR 97301-4078

Mailing address

6677 14TH Ave NE
Keizer, OR 97303-1871
Phone (503) 580-0291

National Provider Directory

National Provider Directory

Locations

223 Commercial St NE
Ste 206
Salem, OR 97301
Phone (503) 580-0291

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1316879604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 14TH AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973031871",
            "telephone_number": "503-580-0291",
            "fax_number": "503-583-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COMMERCIAL ST NE STE 206",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014078",
            "telephone_number": "503-580-0291",
            "fax_number": "503-583-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-580-0291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Jun 1, 2026; 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.