Vickie Haneberg Ma LPC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICKIE HANEBERG MA LPC LLC

Practice address

780 Commercial St SE Ste 201
Salem, OR 97301-3463

Phone

(503) 877-8728

Fax

(503) 386-2453

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Vickie Hurst, LPCNPI 1689901126

Title

Owner/Provider

Phone

(503) 877-8728

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Vickie Kathleen Hurst, M.A., LPC

  • Mental Health Counselor
  • Salem, OR
  • NPI 1689901126
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1396697504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013463",
            "telephone_number": "503-877-8728",
            "fax_number": "503-386-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013463",
            "telephone_number": "503-877-8728",
            "fax_number": "503-386-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE HANEBERG MA LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-877-8728",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500656590",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vida Family Medicine
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• Jacob Thomas Vida
• Gary W Viehdorfer, LMT
• Stacey Nicole Vieyra-Braendle, OTD, OTR/L, MT-BC

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.