Individual provider Active NPI

Vivien Bliss, MS LPC MAC

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1386184794
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1117 Issued in OR
Practice address
225 Madrona Ave SE
Salem, OR 97302-4609
Phone
(503) 362-9466
Fax
(503) 588-9996
NPI assigned
Mar 3, 2017
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1117 OR Primary

Addresses

Primary practice location

225 Madrona Ave SE
Salem, OR 97302-4609

Mailing address

225 Madrona Ave SE
Salem, OR 97302-4609
Phone (503) 362-9466

Other identifiers 1

IdentifierTypeStateIssuer
242865MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003799 OR Practitioner - Mental Health Counselor 2365893294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C1117ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomer Counseling and Consulting, Inc. Mental Health Current Accepting new patients

Locations

225 Madrona Ave SE
Salem, OR 97302
Phone (503) 362-9466

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1386184794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MADRONA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024609",
            "telephone_number": "503-362-9466",
            "fax_number": "503-588-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MADRONA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024609",
            "telephone_number": "503-362-9466",
            "fax_number": "503-588-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "VIVIEN",
        "name_prefix": "Mrs.",
        "credential": "MS LPC MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242865",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.