Active NPI
Jessica Waldroff
- Counselor
- Salem, OR
National Provider Identifier
1427457928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 565 Union St NE
Salem, OR 97301-2477 - Phone
- (503) 949-6668
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
565 Union St NE
Salem, OR 97301-2477
Mailing address
565 Union St NE Ste 100
Salem, OR 97301-2416
Phone (503) 949-6668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427457928 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1427457928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 UNION ST NE STE 100",
"city": "SALEM",
"state": "OR",
"postal_code": "973012416",
"telephone_number": "503-949-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 UNION ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012477",
"telephone_number": "503-949-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROFF",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427457928",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.