NPIMap

Organization Active NPI

Willamette Valley Mental Health, LLC

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1326471376
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLAMETTE VALLEY MENTAL HEALTH, LLC
Practice address
161 High St SE
Suite 230
Salem, OR 97301-3660
Phone
(971) 263-7442
NPI assigned
Aug 13, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Gaedin Ann Keller, M.A., L.M.F.T.
Title
Owner
Phone
(971) 263-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

161 High St SE
Suite 230
Salem, OR 97301-3660

Mailing address

161 High St SE
Suite 230
Salem, OR 97301-3660
Phone (971) 263-7442

National Provider Directory

National Provider Directory
Tax ID family
Willamette Valley Mental Health LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1326471376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE",
            "address_2": "SUITE 230",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013660",
            "telephone_number": "971-263-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE",
            "address_2": "SUITE 230",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013660",
            "telephone_number": "971-263-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "GAEDIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-263-7442",
        "authorized_official_credential": "M.A., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Aug 13, 2013; 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.